Organization Active NPI

Brown Mobile Dental

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1952718868
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15773 Issued in TX
Legal business name
BROWN MOBILE DENTAL
Practice address
8008 Camp Bowie Suite 101
Fort Worth, TX 76116
Phone
(817) 335-5555
Fax
(817) 335-5558
NPI assigned
Jul 14, 2014
Last updated
Jul 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Dr. Steve Brown, DDS
Title
Owner
Phone
(817) 335-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15773 TX Primary

Addresses

Primary practice location

8008 Camp Bowie Suite 101
Fort Worth, TX 76116

Mailing address

PO Box 122295
Fort Worth, TX 76121-2295
Phone (817) 335-5555

National Provider Directory

National Provider Directory

Locations

8008 Camp Bowie West Blvd
Ste 101
Fort Worth, TX 76116
Phone (817) 335-5555

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1952718868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122295",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761212295",
            "telephone_number": "817-335-5555",
            "fax_number": "817-335-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 CAMP BOWIE SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76116",
            "telephone_number": "817-335-5555",
            "fax_number": "817-335-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN MOBILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-335-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "15773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.