Jerry Vernal Brown, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

142464 Issued in UT

Practice address

588 E Main St
Lehi, UT 84043-2246

Phone

(801) 768-8028

Fax

(801) 768-3567

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jerry V Brown

  • General Practice Dentistry
  • Lehi, UT
  • NPI 1487946331
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962628438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 E MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432246",
            "telephone_number": "801-768-8028",
            "fax_number": "801-768-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 E MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432246",
            "telephone_number": "801-768-8028",
            "fax_number": "801-768-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JERRY",
        "middle_name": "VERNAL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Brock, M.D.
• Tyler Brockbank
• Leslie Graff Brooks, D.D.S.
• Audra Brown
• Christopher Steven Brown, LMFT
• Kevin Brown, D.M.D.
• Oliver Brown
• Tessa Brown, FNP-C
• Tyler Brown
• Zachary Browning

• General Practice Dentistry in Lehi, UT
• Providers in Lehi, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.