Organization Active NPI

David R Brown DDS PS

  • General Practice Dentistry
  • Yakima, WA
National Provider Identifier
1821134230
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8500 Issued in WA
Legal business name
DAVID R BROWN DDS PS
Practice address
1014 S 40TH Ave
Yakima, WA 98908-3804
Phone
(509) 966-0303
Fax
(509) 966-2140
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Dr. David R Brown, DDSNPI 1467877456
Title
President
Phone
(509) 966-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8500 WA Primary

Addresses

Primary practice location

1014 S 40TH Ave
Yakima, WA 98908-3804

Mailing address

1014 S 40TH Ave
Yakima, WA 98908-3804
Phone (509) 966-0303

Other identifiers 1

IdentifierTypeStateIssuer
5032263MedicaidWA

National Provider Directory

National Provider Directory

Locations

1014 S 40th Ave
Yakima, WA 98908
Phone (509) 966-0303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1821134230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083804",
            "telephone_number": "509-966-0303",
            "fax_number": "509-966-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083804",
            "telephone_number": "509-966-0303",
            "fax_number": "509-966-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R BROWN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-966-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5032263",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.