Michael D Brooks DMD, Ms, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL D BROOKS DMD, MS, PLLC

Practice address

19365 7TH Ave NE Ste 114
Poulsbo, WA 98370-7441

Phone

(360) 779-7414

Fax

(360) 779-7732

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Michael D Brooks, DMD, MS, PLLC

Title

Owner

Phone

(360) 779-7414

Specialties & licenses 1

Addresses

Other names 1

• PENINSULA PROSTHODONTICS Doing business as

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1124267745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 7TH AVE NE STE 114",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707441",
            "telephone_number": "360-779-7414",
            "fax_number": "360-779-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19365 7TH AVE NE STE 114",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707441",
            "telephone_number": "360-779-7414",
            "fax_number": "360-779-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D BROOKS DMD, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-779-7414",
        "authorized_official_credential": "DMD, MS, PLLC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENINSULA PROSTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Viola G Medina, ARNP
• Jonathan S Mendelsohn, M.D.
• Claudette Meno, LMP
• Lee E Metcalf, PH
• Patricia A Meyer, LMP
• Michael S. Burke, M.D., PLLC
• Jennifer Anne Miller, LMT
• Laura Miller, LMP
• Margery F Miller, PT
• Renee G Miller, PSYD, LMFT

• Dental Clinic/Center in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.