Individual provider Active NPI

Garnett C. Brown III, D.M.D.

  • Periodontics
  • Lexington, KY
National Provider Identifier
1962511832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6345 Issued in KY
Practice address
1001 Monarch St Ste 200
Lexington, KY 40513-1875
Phone
(859) 685-3110
Fax
(859) 296-5970
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 6345 KY Primary

Addresses

Primary practice location

1001 Monarch St Ste 200
Lexington, KY 40513-1875

Mailing address

1001 Monarch St Ste 200
Lexington, KY 40513-1875
Phone (859) 685-3110

Other identifiers 1

IdentifierTypeStateIssuer
6345OtherKYSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000550 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3678712908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6345KYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Garnett C. Brown III D.M.D. PSC Periodontics Past Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962511832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MONARCH ST STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131875",
            "telephone_number": "859-685-3110",
            "fax_number": "859-296-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MONARCH ST STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131875",
            "telephone_number": "859-685-3110",
            "fax_number": "859-296-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN III",
        "first_name": "GARNETT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "6345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "6345",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.