Active NPI
Brown Family Dentistry
- General Practice Dentistry
- Neenah, WI
National Provider Identifier
1871656587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4849-015
- Legal business name
- BROWN FAMILY DENTISTRY
- Practice address
- 996 S Green Bay Rd
Neenah, WI 54956-3627 - Phone
- (920) 725-0400
- Fax
- (920) 725-0470
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tipton J Brown, DDS
- Title
- President
- Phone
- (920) 725-0400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4849-015 | WI | Primary |
| General Practice Dentistry | 1223G0001X | 4833-015 | WI | |
| General Practice Dentistry | 1223G0001X | 5000606-015 | WI |
Addresses
Primary practice location
996 S Green Bay Rd
Neenah, WI 54956-3627
Mailing address
996 S Green Bay Rd
Neenah, WI 54956-3627
Phone (920) 725-0400
National Provider Directory
National Provider DirectoryLocations
996 S Green Bay Rd
Neenah, WI 54956
Phone (920) 722-3668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871656587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 S GREEN BAY RD",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563627",
"telephone_number": "920-725-0400",
"fax_number": "920-725-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 S GREEN BAY RD",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563627",
"telephone_number": "920-725-0400",
"fax_number": "920-725-0470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWN FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TIPTON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-725-0400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "4849-015",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "4833-015",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5000606-015",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.