Individual provider Active NPI

Untray Tyrone Brown, DDS

  • Pediatric Dentistry
  • San Francisco, CA
National Provider Identifier
1841214087
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
51801 Issued in CA
Practice address
707 Parnassus Ave
San Francisco, CA 94143-2210
Phone
(415) 476-3276
NPI assigned
Jul 27, 2006
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 046243 NY
Pediatric Dentistry 1223P0221X 51801 CA Primary

Addresses

Primary practice location

707 Parnassus Ave
San Francisco, CA 94143-2210

Mailing address

55 Greene Ave Ste C
Brooklyn, NY 11238-6406
Phone (718) 230-7676

Other practice location 1

55 Greene Ave Ste Llc
Brooklyn, NY 11238-6432
Phone (718) 230-7676

Other identifiers 2

IdentifierTypeStateIssuer
1022989MedicaidVT
01704787MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181228000111 NY Practitioner - Dentist 9638414311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046243NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Untray T Brown DDS PLLC Pediatric Dentistry Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Feb 16, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Feb 16, 2022 Accepting new patients
Little Tooth Pediatric Dentistry PLLC Pediatric Dentistry Past Accepting new patients

Locations

55 Greene Ave
Ste C
Brooklyn, NY 11238
Phone (718) 230-7676

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

50 Water St
Fl 3
New York, NY 10004

Interoperability endpoints

  • Direct secure messaging: ubrown1358075@nychhc.direct-ci.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1841214087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE STE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386406",
            "telephone_number": "718-230-7676",
            "fax_number": "718-230-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-3276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Greene Ave Ste Llc",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112386432",
            "country_code": "US",
            "telephone_number": "718-230-7676",
            "fax_number": "718-230-7776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "UNTRAY",
        "middle_name": "TYRONE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "046243",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "51801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022989",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01704787",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.