Benjaman Roy Brown, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

61150363 Issued in WA

Practice address

123 W Francis Ave Ste 102
Spokane, WA 99205-6348

Phone

(509) 928-8800

Fax

(509) 321-0154

NPI assigned

Apr 28, 2010

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 22, 2021 through Jun 22, 2027

Medicare enrollment (NPD)

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.

• Oral Surgery Plus P.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Spokane, WA
  • NPI 1942410436
  NPD (past)
• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Blaine, MN
  • NPI 1467563510
  NPD (past)
• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Waconia, MN
  • NPI 1770694812
  NPD (past)
• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Maple Grove, MN
  • NPI 1902917057
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1962729046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W FRANCIS AVE STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056348",
            "telephone_number": "509-928-8800",
            "fax_number": "509-321-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W FRANCIS AVE STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056348",
            "telephone_number": "509-928-8800",
            "fax_number": "509-321-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BENJAMAN",
        "middle_name": "ROY",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "61150363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Brown-McCauley
• Victoria Brown-Miller, LMHCA
• Alexandria Adair Brown, SUDP/T
• Andreas Brown, DPT
• Baylee Ann Brown, LMHCA
• Brinae Brown
• Brooke Brown
• Cameron Brown, DPT
• Cecil Peter Brown, MD
• Cheryl A Brown

• Oral and Maxillofacial Surgery (Dentist) in Spokane, WA
• Providers in Spokane, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.