Individual provider Active NPI

Randal Hayes Brown, DDS

  • Dentist
  • Strasburg, PA
National Provider Identifier
1841512613
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS021206-L Issued in PA
Practice address
205 Miller Street
Strasburg, PA 17579
Phone
(717) 687-9366
Fax
(717) 687-9556
NPI assigned
Feb 22, 2010
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS021206-L PA Primary

Addresses

Primary practice location

205 Miller Street
Strasburg, PA 17579

Mailing address

205 Miller Street
Strasburg, PA 17579
Phone (717) 687-9366

Other names 1

  • Strasburg Dental Care Professional name

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
DS021206-LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1841512613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MILLER STREET",
            "city": "STRASBURG",
            "state": "PA",
            "postal_code": "17579",
            "telephone_number": "717-687-9366",
            "fax_number": "717-687-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MILLER STREET",
            "city": "STRASBURG",
            "state": "PA",
            "postal_code": "17579",
            "telephone_number": "717-687-9366",
            "fax_number": "717-687-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RANDAL",
        "middle_name": "HAYES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021206-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STRASBURG",
            "last_name": "CARE",
            "middle_name": "DENTAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Strasburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.