Active NPI
Brooke Bakke, RDH
- Dental Hygienist
- Red Lake, MN
National Provider Identifier
1346960531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H10146
- Practice address
- 24760 Hospital Rd
Red Lake, MN 56671 - Phone
- (218) 679-3316
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H10146 | MN | Primary |
Addresses
Primary practice location
24760 Hospital Rd
Red Lake, MN 56671
Mailing address
24760 Hospital Rd
Red Lake, MN 56671
Phone (218) 679-3316
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 1740547728 | Health Information Exchange (HIE) | |
| Other URL | 1740547728 | Other |
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 |
|---|---|---|---|
| H10146 | MN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1346960531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24760 HOSPITAL RD",
"city": "RED LAKE",
"state": "MN",
"postal_code": "56671",
"telephone_number": "218-679-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24760 HOSPITAL RD",
"city": "RED LAKE",
"state": "MN",
"postal_code": "56671",
"telephone_number": "218-679-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKKE",
"first_name": "BROOKE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H10146",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "1740547728",
"affiliation": "N",
"endpointDescription": "Red Lake Comprehensive Health Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Red Lake Hospital",
"address_1": "24760 Hospital Rd",
"city": "Red Lake",
"state": "MN",
"country_code": "US",
"postal_code": "56671",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "1740547728",
"affiliation": "N",
"endpointDescription": "Red Lake Comprehensive Health Services",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Red Lake Hospital",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Red Lake Hospital",
"address_1": "24760 Hospital Rd",
"city": "Red Lake",
"state": "MN",
"country_code": "US",
"postal_code": "56671",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Red Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.