THEODORE A BROWN (NPI# 1114013604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114013604 |
| Entity Type | Individual |
| Full Name | THEODORE A BROWN |
| Credential | D.D.S. |
| Practice Address |
106 3rd Ave Se Mohall ND 58761 |
| Mailing Address |
P.o. Box 188 Mohall ND 58761-0188 |
| Practice Telephone | 7017566655 |
| Mailing Telephone | 7017566655 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1760 | ND | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 41000 | 05 | |
| ND | DENTAL SERVICE CORPORATIO | 901760 | 01 |
| ND | UNITED CONCORDIA | 879031 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386920031 | Theodore Avery Brown | Technician/Technologist | 189a Warley St, Florence, SC 29501-4442 | 2011-10-26 |
| 1295363950 | Theodore Andrew Brown | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-03-30 |
| 1104310739 | Theodore Brown | Case Manager/Care Coordinator | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-18 |
| 1669920856 | Theodore Brown | Social Worker | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2016-09-15 |
| 1093000473 | Theodore Thurman Brown | Pathology | 1500 E Medical Center Drive, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2011-06-14 |
| 1568580405 | Theodore Henry Brown | Specialist | 1220 E Avenue S, Suite M, Palmdale, CA 93550-6196 | 2007-03-27 |
| 1558495515 | Theodore James Brown | Military Health Care Provider | Psc 482 Box 1600, Evans Bmc, Usnh Okinawa, Fpo, AP 96362 | 2007-03-14 |
| 1568416873 | Theodore Ross Brown | Physical Medicine & Rehabilitation | 12039 Ne 128th St, Suite 300, Kirkland, WA 98034-3030 | 2006-05-20 |
| 1467414714 | Theodore Robert Brown | Family Medicine | 503 Robert Grant Ave, Wrair, Division of Preventive Medicine, Silver Spring, MD 20910-7500 | 2006-04-03 |
| Street Address |
106 3RD AVE SE |
| City | MOHALL |
| State | ND |
| Zip Code | 58761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003148644 | Melanie Ray Skar | Physical Medicine & Rehabilitation | 602 Main St. E, Good Samaritan Center, Mohall, ND 58761 | 2010-02-08 |
| 1154411676 | Mohall Ambulance Service | Ambulance | 105 Main St West, Mohall, ND 58761 | 2006-10-13 |
| 1033273339 | Paul Daniel Herigstad | Chiropractor | 202 5th St Nw, Mohall, ND 58761-0721 | 2006-12-20 |
| 1295243277 | Renville County Social Services | Case Management | 205 Main St E, Mohall, ND 58761-4014 | 2018-01-12 |
| 1952808024 | Amanda Marie Wallace | Case Manager/Care Coordinator | 205 Main St E, Mohall, ND 58761-4014 | 2018-04-06 |
| 1235730136 | Cindy Mae Anderson | Technician | 207 Central Ave S, Mohall, ND 58761-4066 | 2020-11-05 |
| 1861473852 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 602 Main St E, Mohall, ND 58761-4100 | 2005-11-08 |
| 1457717746 | Kayla Fisher | Speech-Language Pathologist | 602 Main St E, Mohall, ND 58761-4100 | 2016-01-04 |
| 1497138796 | Jan L Weathers | Community Health Worker | 602 Main St E, Mohall, ND 58761-4100 | 2015-07-04 |
| 1578761649 | Krista Hope Becker | Physical Therapist | 602 Main St E, Mohall, ND 58761-4100 | 2007-07-10 |
| Find all providers in zip 58761 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144851 | Robert A. Bond, D.d.s. | Dentist | 2851 University Dr S, Fargo, ND 58103-6029 | 2020-05-04 |
| 1972167799 | Dr Alan Napoles Dds Pllc | Dentist | 3451 S Broadway Ste B, Minot, ND 58701-7419 | 2019-04-26 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1225505761 | Blake Ristvedt Dental Pllc | Dentist | 520 Main Ave Ste 705, Fargo, ND 58103-1967 | 2018-11-01 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1003307182 | Arjan Majidian | Dentist | 1231 27th St S Ste B, Fargo, ND 58103-8722 | 2018-05-23 |
| 1679070163 | Nicole A Searcey | Dentist | 0005 Medical Group @ 5mdg/sgq, 194 Missile Avenue, Minot Afb, ND 58705-5024 | 2018-04-10 |
| 1114430519 | John Robert Kerr | Dentist | Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316 | 2017-11-08 |
| 1962930073 | Austin Michael Vetter | Dentist | 1331 32nd Ave S Ste 3, Fargo, ND 58103-5989 | 2017-06-02 |
| 1326576828 | Jeffrey James Harrie | Dentist | 3525 25th St S, Fargo, ND 58104-5900 | 2017-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.