Howard Brooks, D.M.D. – Dentist in Winthrop, MA

Key facts

NPI: 1174643118
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 1698 (MA)
Practice address: 54 Woodside Ave
Winthrop, MA 02152-2901
Phone: (617) 846-1811
NPI assigned: Mar 31, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Brooks Dental, P.C. General Practice Dentistry · Winthrop, MA · NPI 1134324049

NPD (past) Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1698	MA	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Brooks Dental, P.C.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	1698	MA	Yes

Addresses

Primary practice location

54 Woodside Ave
Winthrop, MA 02152-2901

Mailing address

33 Ralph Rd
Marblehead, MA 01945-1832

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174643118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RALPH RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WOODSIDE AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522901",
            "telephone_number": "617-846-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "1698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

All providers in Winthrop, MA · Dentist in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.