Thomas J. Brown, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3359 Issued in WI

Practice address

110 E Franklin St
Sparta, WI 54656-1877

Phone

(608) 269-2666

NPI assigned

Sep 27, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972694636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S HIGHLAND DR",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561538",
            "telephone_number": "608-269-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E FRANKLIN ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561877",
            "telephone_number": "608-269-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33466800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Black River Chiropractic Center SC
• Barbara J Blank, OTR
• Audrey Bradfish, RN
• Bailey Ellen Brown, PTA
• Jeffrey P Brown, RPH
• Ashlee R Brozak, PT
• Kimberly Buchanan Krupicka, LCSW CADC III
• Diana Claire Burkee
• Loni Burton
• Amanda J Byom, ED. D., MS, LPC, SAC

• General Practice Dentistry in Sparta, WI
• Providers in Sparta, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.