Individual provider Active NPI

Lawrence Ricky Brown, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
National Provider Identifier
1952353609
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
11776 Issued in FL
Practice address
8950 SW 74TH CT
Ste 1610
Miami, FL 33156-3171
Phone
(305) 670-7610
Fax
(305) 670-4950
NPI assigned
May 17, 2006
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 11776 FL Primary

Addresses

Primary practice location

8950 SW 74TH CT
Ste 1610
Miami, FL 33156-3171

Mailing address

8950 SW 74TH CT
Ste 1610
Miami, FL 33156-3171
Phone (305) 670-7610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 9, 2021 through Mar 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11776FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Dadeland Oral Surgery Associates, PA Oral and Maxillofacial Surgery CurrentSince Sep 4, 2022 Accepting new patients

Locations

8950 SW 74th Ct
Ste 1610
Miami, FL 33156
Phone (305) 670-7610

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1952353609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT",
            "address_2": "STE 1610",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563171",
            "telephone_number": "305-670-7610",
            "fax_number": "305-670-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT",
            "address_2": "STE 1610",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563171",
            "telephone_number": "305-670-7610",
            "fax_number": "305-670-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LAWRENCE",
        "middle_name": "RICKY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "11776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.