Active NPI
Jean E Brown, RDH
- Dental Hygienist
- Brattleboro, VT
National Provider Identifier
1861605180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 015-0000529
- Practice address
- 72 High St
Brattleboro, VT 05301-6074 - Phone
- (802) 254-9644
- NPI assigned
- May 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 015-0000529 | VT | Primary |
Addresses
Primary practice location
72 High St
Brattleboro, VT 05301-6074
Mailing address
72 High St
Brattleboro, VT 05301-6074
Phone (802) 254-9644
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015-0000529 | VT | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Dental Care, PLLC. | Past | 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, 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": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861605180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 HIGH ST",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053016074",
"telephone_number": "802-254-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 HIGH ST",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053016074",
"telephone_number": "802-254-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JEAN",
"middle_name": "E",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "VT",
"license": "015-0000529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.