Individual provider Active NPI

Karin Rebecca Brilowski, DDS

  • General Practice Dentistry
  • Brookfield, WI
National Provider Identifier
1144870858
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1002535-15 Issued in WI
Practice address
17000 W Capitol Dr Ste 12
Brookfield, WI 53005-2158
Phone
(262) 373-0775
NPI assigned
Sep 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1002535-15 WI Primary

Addresses

Primary practice location

17000 W Capitol Dr Ste 12
Brookfield, WI 53005-2158

Mailing address

17000 W Capitol Dr Ste 12
Brookfield, WI 53005-2158
Phone (262) 373-0775

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

LicenseStateTypeSpecialty
1002535-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brilowski Family Dentistry SC General Practice CurrentSince Jan 15, 2023 Accepting new patients
Colorado Dental Partners LLC PastSince Sep 1, 2019 Accepting new patients
Sage Dentistry VI Dentist PastSince Sep 1, 2019 Accepting new patients

Locations

17000 W Capitol Dr
Ste 12
Brookfield, WI 53005
Phone (262) 373-0775

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1144870858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 W CAPITOL DR STE 12",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052158",
            "telephone_number": "262-373-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 W CAPITOL DR STE 12",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052158",
            "telephone_number": "262-373-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILOWSKI",
        "first_name": "KARIN",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002535-15",
            "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 Jan 5, 2023; 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.