Benita K Brooks, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6326 Issued in NV

Practice address

620 Humboldt St
Reno, NV 89509

Phone

(916) 833-8245

NPI assigned

Oct 4, 2012

Last updated

Feb 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1366794018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 SUSILEEN DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093859",
            "telephone_number": "916-833-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HUMBOLDT ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "916-833-8245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Humboldt St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89509",
            "country_code": "US",
            "telephone_number": "916-833-8245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BENITA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Wilson Wellness
• Frank Joseph Brooke, RDH
• Valerie Jeanne Brooke, MD
• Alexander Sean Brooks, DO
• Ashley Brooks
• Benjamin Brooks, DDS
• Bernard J Brooks, PHARMD
• Laurie Brooks
• Lyla Bleu Brooks
• Michael Robert Brooks, CRNFA

• Dentist in Reno, NV
• Providers in Reno, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.