Individual provider Active NPI

Brock Brilowski, DDS

  • Dentist
  • Arvada, CO
National Provider Identifier
1154971869
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00204128 Issued in CO
Practice address
16205 W 64TH Ave Ste 200
Arvada, CO 80007-7401
Phone
(303) 940-1910
NPI assigned
Sep 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00204128 CO Primary

Addresses

Primary practice location

16205 W 64TH Ave Ste 200
Arvada, CO 80007-7401

Mailing address

6792 W 19TH PL
Lakewood, CO 80214-1478

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
DEN.00204128COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brilowski Family Dentistry SC CurrentSince Jan 15, 2023 Accepting new patients
Sage Dentistry II PLLC Dentist CurrentSince Jul 24, 2022 Accepting new patients
Colorado Dental Partners LLC PastSince Sep 25, 2019 Accepting new patients

Locations

16205 W 64th Ave
Ste 200
Arvada, CO 80007
Phone (303) 940-1910

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": "1568419200000",
    "number": "1154971869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6792 W 19TH PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 W 64TH AVE STE 200",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077401",
            "telephone_number": "303-940-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILOWSKI",
        "first_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.