Organization Active NPI

Josh Brooks, PLLC

  • Denturist
  • Kennewick, WA
National Provider Identifier
1295928752
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN00000391 Issued in WA
Legal business name
JOSH BROOKS, PLLC
Practice address
7233 W Deschutes Ave.
Suite E
Kennewick, WA 99336
Phone
(509) 586-4350
Fax
(888) 656-9322
NPI assigned
Aug 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Joshua Daniel BrooksNPI 1699801480
Title
Sole Member
Phone
(509) 586-4350

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
DenturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122400000X DN00000391 WA Primary
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X
Dental AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 126800000X
Dental Laboratory TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 126900000X

Addresses

Primary practice location

7233 W Deschutes Ave.
Suite E
Kennewick, WA 99336

Mailing address

7233 W Deschutes Ave.
Suite E
Kennewick, WA 99336
Phone (509) 586-4350

Other identifiers 1

IdentifierTypeStateIssuer
5047626MedicaidWA

Other names 1

  • Columbia Basin Denture Care Former legal business name

National Provider Directory

National Provider Directory

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": "1187481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1295928752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 W DESCHUTES AVE.",
            "address_2": "SUITE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-586-4350",
            "fax_number": "888-656-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 W DESCHUTES AVE.",
            "address_2": "SUITE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-586-4350",
            "fax_number": "888-656-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSH BROOKS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-19",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "509-586-4350"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000391",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126900000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Laboratory Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5047626",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Basin Denture Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

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