Individual provider Active NPI

David James Brown II, DDS

  • Pediatric Dentistry
  • Wichita, KS
National Provider Identifier
1811026115
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
60393 Issued in KS
Practice address
2143 N Collective LN Ste B
Wichita, KS 67206-3506
Phone
(316) 681-3228
Fax
(316) 558-3227
NPI assigned
Mar 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 60393 KS Primary

Addresses

Primary practice location

2143 N Collective LN Ste B
Wichita, KS 67206-3506

Mailing address

2143 N Collective LN Ste B
Wichita, KS 67206-3506
Phone (316) 681-3228

Other practice location 1

13610 W Maple St
Wichita, KS 67235-8776
Phone (316) 681-3228

Other practice location 2

2701 N Rock Rd Ste 400
Derby, KS 67037-3792
Phone (316) 681-3228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60393KSMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Dentistry of Wichita Pediatric Dentistry PastSince Jun 23, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1811026115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 N COLLECTIVE LN STE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063506",
            "telephone_number": "316-681-3228",
            "fax_number": "316-558-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 N COLLECTIVE LN STE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063506",
            "telephone_number": "316-681-3228",
            "fax_number": "316-558-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13610 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672358776",
            "country_code": "US",
            "telephone_number": "316-681-3228",
            "fax_number": "316-558-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 N Rock Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670373792",
            "country_code": "US",
            "telephone_number": "316-681-3228",
            "fax_number": "316-558-3228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "60393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.