Active NPI
Robert C. Brooks, D.D.S.
- General Practice Dentistry
- Winnsboro, LA
National Provider Identifier
1043391733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2793
- Practice address
- 1511 Eighth St
Winnsboro, LA 71295-3905 - Phone
- (318) 435-4648
- Fax
- (318) 435-3005
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2793 | LA | Primary |
Addresses
Primary practice location
1511 Eighth St
Winnsboro, LA 71295-3905
Mailing address
1511 Eighth St
Winnsboro, LA 71295-3905
Phone (318) 435-4648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1827932 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2793 | LA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043391733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 EIGHTH ST",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712953905",
"telephone_number": "318-435-4648",
"fax_number": "318-435-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 EIGHTH ST",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712953905",
"telephone_number": "318-435-4648",
"fax_number": "318-435-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ROBERT",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "2793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1827932",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winnsboro, LA
Sources for this page
- 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.