Organization Active NPI

Westside Dental Studio PLLC

Doing business as Westside Dental Studio

  • Dental Clinic/Center
  • Cookeville, TN
National Provider Identifier
1023753282
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WESTSIDE DENTAL STUDIO PLLC
Doing business as
Westside Dental Studio
Practice address
233 N Peachtree Ave
Cookeville, TN 38501-2548
Phone
(931) 303-0004
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Dr. Aaron Brooksbank, DDS, MSNPI 1083242341
Title
Owner Dentist
Phone
(931) 260-1528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

233 N Peachtree Ave
Cookeville, TN 38501-2548

Mailing address

233 N Peachtree Ave
Cookeville, TN 38501-2548
Phone (931) 303-0004

Other names 1

  • Westside Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

233 N Peachtree Ave
Cookeville, TN 38501
Phone (931) 303-0004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1023753282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N PEACHTREE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012548",
            "telephone_number": "931-303-0004",
            "fax_number": "931-303-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N PEACHTREE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012548",
            "telephone_number": "931-303-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "BROOKSBANK",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "931-260-1528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.