Organization Active NPI

Brooks Cosmetic & Family Dentistry

  • General Practice Dentistry
  • McDonough, GA
National Provider Identifier
1275625519
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BROOKS COSMETIC & FAMILY DENTISTRY
Practice address
70 Westridge Pkwy
Suite 200
McDonough, GA 30253-3048
Phone
(678) 583-0330
Fax
(678) 583-0660
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Dr. Robert S Brooks, DDS
Title
President
Phone
(678) 583-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X GA Primary

Addresses

Primary practice location

70 Westridge Pkwy
Suite 200
McDonough, GA 30253-3048

Mailing address

70 Westridge Pkwy
Suite 200
McDonough, GA 30253-3048
Phone (678) 583-0330

Other names 1

  • Brooks & Maddox Family Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

70 Westridge Pkwy
Ste 200
McDonough, GA 30253
Phone (678) 583-0330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1275625519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WESTRIDGE PKWY",
            "address_2": "SUITE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533048",
            "telephone_number": "678-583-0330",
            "fax_number": "678-583-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WESTRIDGE PKWY",
            "address_2": "SUITE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533048",
            "telephone_number": "678-583-0330",
            "fax_number": "678-583-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS COSMETIC & FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-583-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks & Maddox Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.