Brockman Family Dentistry, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8132 Issued in CO

Legal business name

BROCKMAN FAMILY DENTISTRY, INC.

Practice address

10450 Park Meadows Dr
Suite 304
Lone Tree, CO 80124-5529

Phone

(303) 799-4333

Fax

(303) 799-7931

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Richard Brockman Jr., D.D.S.NPI 1538244892

Title

Dentist President

Phone

(303) 799-4333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Richard Brockman Jr., D.D.S.

  • General Practice Dentistry
  • Lone Tree, CO
  • NPI 1538244892
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205911575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "SUITE 304",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "303-799-4333",
            "fax_number": "303-799-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "SUITE 304",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "303-799-4333",
            "fax_number": "303-799-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKMAN FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "303-799-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronwyn Victoria Brewer
• Natalie Libertella Brewster, M.D.
• Dana Lynn Brickell, WHNP-BC
• Riley Bricker
• Courtney Brilley
• John Richard Brockman Jr., D.D.S.
• Nancy Broderick, MSN, FNP, CWOCN
• Andrew Eric Brookens, M.D.
• Brooks Surgical Assisting LLC
• Aaron Quintin Brown, R.T. (R)

• General Practice Dentistry in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.