Individual provider Active NPI

Richard Clinton Brown, DDS

  • Dentist
  • Carmichael, CA
National Provider Identifier
1821110842
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23282 Issued in CA
Practice address
6600 Madison Ave Ste 5
Carmichael, CA 95608-0645
Phone
(916) 966-9017
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23282 CA Primary

Addresses

Primary practice location

6600 Madison Ave Ste 5
Carmichael, CA 95608-0645

Mailing address

6600 Madison Ave Ste 5
Carmichael, CA 95608-0645
Phone (916) 966-9017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160715001831 CA Order and Referring Only - DentistPractitioner - Dentist 8820380561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1821110842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MADISON AVE STE 5",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080645",
            "telephone_number": "916-966-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MADISON AVE STE 5",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080645",
            "telephone_number": "916-966-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RICHARD",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "23282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.