Brooke Zane Loftis Elmore, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23626 Issued in TX

Practice address

111 Indian Dr Ste 101
Waxahachie, TX 75165-1631

Phone

(972) 934-4424

Fax

(972) 937-4258

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fossum Dental Group

  • General Practice Dentistry
  • Harker Heights, TX
  • NPI 1881807592
  NPD (past)
• Richard F. Fossum DDS, PA

  • Dentist
  • Temple, TX
  • NPI 1417198409
  NPD (past)
• Singleton Elmore Dental Partners PLLC

  • General Practice Dentistry
  • Waxahachie, TX
  • NPI 1184189458
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1093971848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 INDIAN DR STE 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651631",
            "telephone_number": "972-937-4424",
            "fax_number": "972-937-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 INDIAN DR STE 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651631",
            "telephone_number": "972-934-4424",
            "fax_number": "972-937-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "BROOKE",
        "middle_name": "ZANE LOFTIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23626",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellis County Optical, Inc.
• Ellis County Surgical Associates
• Ellis County Surgical Associates PA
• Ellis Emergency Physicians PLLC
• Ellis Surgical Pavilion, LLC
• Ember & Lighthouse Wellness, LLC
• Emerald City Therapies, PLLC
• Caitlyn Eileen Emigh, MD
• Empire Anesthesia, PLLC
• Keith O Engel, LCSW

• General Practice Dentistry in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.