NPIMap

Organization Active NPI

Dr. Dalton Peter Brooks, Jr., DMD, PLLC

  • General Practice Dentistry
  • Lumberton, NC
National Provider Identifier
1275782252
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6800 Issued in NC
Legal business name
DR. DALTON PETER BROOKS, JR., DMD, PLLC
Practice address
727 Wesley Pines Rd
Lumberton, NC 28358-2105
Phone
(910) 674-3672
Fax
(910) 674-3673
NPI assigned
Sep 15, 2008
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Dalton Peter Brooks Jr., DMDNPI 1518936020
Title
Owner
Phone
(910) 674-3672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6800 NC Primary

Addresses

Primary practice location

727 Wesley Pines Rd
Lumberton, NC 28358-2105

Mailing address

727 Wesley Pines Rd
Lumberton, NC 28358-2105
Phone (910) 674-3672

Other identifiers 2

IdentifierTypeStateIssuer
90092OtherNCBCBS
8990092MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1275782252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 WESLEY PINES RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582105",
            "telephone_number": "910-674-3672",
            "fax_number": "910-674-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WESLEY PINES RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582105",
            "telephone_number": "910-674-3672",
            "fax_number": "910-674-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DALTON PETER BROOKS, JR., DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DALTON",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-674-3672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90092",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990092",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.