DR. DEREK JOHN BROWN (NPI# 1710032479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710032479 |
| Entity Type | Individual |
| Full Name | DR. DEREK JOHN BROWN |
| Credential | D.M.D., M.S |
| Practice Address |
1133 N Walton Blvd Ste A Bentonville AR 72712-4164 |
| Practice Telephone | 4792732626 |
| Practice Fax Number | 4762735959 |
| Mailing Telephone | 4792732626 |
| Mailing Fax Number | 4762735959 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3253 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477938561 | Derek Brown | Community Based Residential Treatment Facility, Mental Illness | 13921 Yukon Ave, Hawthorne, CA 90250 | 2015-07-30 |
| 1518177260 | Derek Brian Brown | Social Worker | 240 E 4th St, Apt. 5d, New York, NY 10009-7404 | 2007-05-23 |
| 1659597524 | Derek Joseph Brown | Medical Genetics, Ph.D. Medical Genetics | 1301 W 12th Ave Ste 301c, Emporia, KS 66801-2589 | 2007-04-18 |
| 1598827115 | Derek Alden Brown | Chiropractor | 210 N Norwood Dr, Hurst, TX 76053 | 2006-12-14 |
| 1184252785 | Derek Wayne Brown | Student in an Organized Health Care Education/Training Program | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2020-03-30 |
| 1508410200 | Derek L. Brown | Physical Therapy Assistant | 160 Pedro Way, Winchester, KY 40391-8354 | 2019-07-31 |
| 1275185795 | Derek Brown | Pharmacist | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 2019-07-15 |
| 1740706100 | Derek Len Brown | Counselor | 1731 W Walnut Ave, Visalia, CA 93277-6232 | 2017-08-17 |
| 1447691357 | Derek Brown | Emergency Medicine | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2013-07-09 |
| 1225478548 | Derek Charles Brown | Counselor | 3621 N Kelley Ave, Ste. 100, Oklahoma City, OK 73111-4520 | 2013-07-01 |
| Street Address |
1133 N WALTON BLVD STE A |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-4164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457502791 | Derek John Brown Dmd, Ms, Pa | Dentist | 1133 N Walton Blvd Ste A, Bentonville, AR 72712-4164 | 2008-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605908 | Shannon Candid Arkansas, P.a. | Dentist | 900 Se 5th St Ste 22t, Bentonville, AR 72712-6090 | 2020-09-23 |
| 1629232285 | Dennis J Mauro | Dentist | 1400 Se Walton Blvd, Suite 42, Bentonville, AR 72712-3722 | 2008-07-14 |
| 1265596597 | Bill Pickard, D.d.s., M.s., P.a. | Dentist | 1400 Se Walton Blvd Ste 42, Bentonville, AR 72712-3202 | 2006-12-21 |
| 1457502791 | Derek John Brown Dmd, Ms, Pa | Dentist | 1133 N Walton Blvd Ste A, Bentonville, AR 72712-4164 | 2008-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229985 | Kolin E. Weaver, Dds, Ms, Inc. | Dentist | 2316 Red Wolf Blvd Ste C, Jonesboro, AR 72401-6360 | 2020-06-15 |
| 1447875729 | Wardlaw Orthodontics, P.a. | Dentist | 8315 Cantrell Rd Ste 100, Little Rock, AR 72227-2354 | 2020-06-11 |
| 1659922904 | Hodge Orthodontics | Dentist | 2924 Kavanaugh Blvd, Little Rock, AR 72205-3719 | 2019-09-26 |
| 1700346772 | Ashcraft Orthodontics Pllc | Dentist | 23 Shackleford Dr Ste A, Little Rock, AR 72211-2990 | 2019-03-25 |
| 1518434398 | Michelle Lien Clinton Munoz | Dentist | 1917 Reveille Cir, Jacksonville, AR 72076-9157 | 2018-10-30 |
| 1376057562 | Freeman Mobile Orthodontics, Pllc | Dentist | 803 Quandt Ave, Springdale, AR 72764-5352 | 2017-11-27 |
| 1265954432 | David Bell | Dentist | 1455 Harrison St, Batesville, AR 72501-7220 | 2017-07-10 |
| 1467984716 | Axpm-harrison Pllc | Dentist | 303 Eureka Ave, Berryville, AR 72616-3833 | 2017-03-28 |
| 1740720101 | Clayton L Owen Dds, Pa | Dentist | 1306 S Pine St, Cabot, AR 72023-3812 | 2017-03-06 |
| 1578001616 | Jesse R Gray Dds Pa | Dentist | 3119 E Mission Blvd, Fayetteville, AR 72703-6617 | 2017-02-09 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.