Organization Active NPI

Carolyn W. Brown, DMD

  • Dental Clinic/Center
  • Winnsboro, SC
National Provider Identifier
1922278423
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3357 Issued in SC
Legal business name
CAROLYN W. BROWN, DMD
Practice address
300 S Garden St
Winnsboro, SC 29180-1418
Phone
(803) 635-1267
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Carolyn W. Brown, DMD
Title
Owner
Phone
(803) 635-1267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3357 SC Primary

Addresses

Primary practice location

300 S Garden St
Winnsboro, SC 29180-1418

Mailing address

300 S Garden St
Winnsboro, SC 29180-1418
Phone (803) 635-1267

Other identifiers 1

IdentifierTypeStateIssuer
Z33571MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1922278423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S GARDEN ST",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291801418",
            "telephone_number": "803-635-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S GARDEN ST",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291801418",
            "telephone_number": "803-635-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN W. BROWN, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-635-1267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z33571",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.