Brooke Lowe Igun, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31053 Issued in TX

Practice address

1011 E Ennis Ave Ste a
Ennis, TX 75119-4352

Phone

(469) 212-1707

NPI assigned

Jul 18, 2015

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

Other names 1

• Brooke Lowe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1366826323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 N HALL ST APT 459",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E ENNIS AVE STE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194352",
            "telephone_number": "469-212-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Highway 175",
            "address_purpose": "LOCATION",
            "city": "Seagoville",
            "state": "TX",
            "postal_code": "751591843",
            "country_code": "US",
            "telephone_number": "972-200-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 N Highway 175",
            "address_purpose": "LOCATION",
            "city": "Seagoville",
            "state": "TX",
            "postal_code": "751591843",
            "country_code": "US",
            "telephone_number": "972-200-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGUN",
        "first_name": "BROOKE",
        "middle_name": "LOWE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "LOWE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• General Practice Dentistry in Ennis, TX
• Providers in Ennis, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.