Active NPI
Benjamin Brooks, DDS
- Dentist
- Reno, NV
National Provider Identifier
1194077040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6325
- Practice address
- 333 California Ave
Reno, NV 89509-1645 - Phone
- (415) 314-4108
- NPI assigned
- Oct 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6325 | NV | Primary |
Addresses
Primary practice location
333 California Ave
Reno, NV 89509-1645
Mailing address
6008 Plumas St
Apt. C
Reno, NV 89519-6006
Phone (415) 314-4108
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6325 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1194077040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6008 PLUMAS ST",
"address_2": "APT. C",
"city": "RENO",
"state": "NV",
"postal_code": "895196006",
"telephone_number": "415-314-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CALIFORNIA AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895091645",
"telephone_number": "415-314-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "BENJAMIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-02",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.