Organization Active NPI

BRK, PLLC

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1033679089
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRK, PLLC
Practice address
7120 S Pennsylvania Ave
Oklahoma City, OK 73159-3315
Phone
(405) 681-6601
NPI assigned
Mar 24, 2019
Last updated
Mar 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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

Authorized official

Name
Kristen Johnson
Title
Insurance Advisor
Phone
(405) 633-0814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

7120 S Pennsylvania Ave
Oklahoma City, OK 73159-3315

Mailing address

700 S Mustang Rd
Yukon, OK 73099-6777
Phone (405) 494-7227

National Provider Directory

National Provider Directory

Locations

700 S Mustang Rd
Yukon, OK 73099
Phone (405) 494-7227

Practitioners & affiliated clinicians

Practitioners 2

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": "1553385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553385600000",
    "number": "1033679089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996777",
            "telephone_number": "405-494-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 S PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593315",
            "telephone_number": "405-681-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-03-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "INSURANCE ADVISOR",
        "authorized_official_telephone_number": "405-633-0814"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2019; 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.