NPIMap

Organization Active NPI

Greenbrook Dentistry S C

  • General Practice Dentistry
  • Brookfield, WI
National Provider Identifier
1063565273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GREENBROOK DENTISTRY S C
Practice address
13780 W Greenfield Ave
Suite 780
Brookfield, WI 53005-7192
Phone
(262) 782-4860
Fax
(262) 782-7720
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert B Morris, DDS
Title
Secretary
Phone
(262) 782-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13780 W Greenfield Ave
Suite 780
Brookfield, WI 53005-7192

Mailing address

13780 W Greenfield Ave
Suite 780
Brookfield, WI 53005-7192
Phone (262) 782-4860

National Provider Directory

National Provider Directory

Locations

13780 W Greenfield Ave
Ste 780
Brookfield, WI 53005
Phone (262) 782-4860

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063565273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13780 W GREENFIELD AVE",
            "address_2": "SUITE 780",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057192",
            "telephone_number": "262-782-4860",
            "fax_number": "262-782-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13780 W GREENFIELD AVE",
            "address_2": "SUITE 780",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057192",
            "telephone_number": "262-782-4860",
            "fax_number": "262-782-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK DENTISTRY S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "262-782-4860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.