Active NPI
Anthony Patrick Brown Jr., D.D.S.
- Pediatric Dentistry
- Durham, NC
National Provider Identifier
1902218902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 9713
- Practice address
- 2140 Page Rd Ste 101
Durham, NC 27703-7716 - Phone
- (919) 352-9011
- NPI assigned
- May 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 9713 | NC | Primary |
Addresses
Primary practice location
2140 Page Rd Ste 101
Durham, NC 27703-7716
Mailing address
1508 Maple Grove Church Rd
Dunn, NC 28334-7688
Phone (910) 567-6194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151105002413 | NC | Order and Referring Only - Dentist | 3577873322 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9713 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony P. Brown, Jr., DDS, PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
2140 Page Rd
Ste 101
Durham, NC 27703
Phone (919) 352-9011
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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Durham, NC
- NPI 1548035546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1902218902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 MAPLE GROVE CHURCH RD",
"city": "DUNN",
"state": "NC",
"postal_code": "283347688",
"telephone_number": "910-567-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 PAGE RD STE 101",
"city": "DURHAM",
"state": "NC",
"postal_code": "277037716",
"telephone_number": "919-352-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANTHONY",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-24",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "9713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.