Active NPI
W. Paul Brown, DDS, FICD, FACD
- Endodontics
- Palo Alto, CA
National Provider Identifier
1881970457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 21056
- Practice address
- 777 Welch Rd
Palo Alto, CA 94304-1613 - Phone
- (650) 326-7257
- NPI assigned
- Oct 27, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 21056 | CA | Primary |
Addresses
Primary practice location
777 Welch Rd
Palo Alto, CA 94304-1613
Mailing address
875 Westridge Dr
Portola Valley, CA 94028-7334
Phone (650) 888-6601
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1881970457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 WESTRIDGE DR",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287334",
"telephone_number": "650-888-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041613",
"telephone_number": "650-326-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "W.",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS, FICD, FACD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "21056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.