Brandon Wesley Rook, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

09361 Issued in IA

Practice address

1015 N 18TH St
Centerville, IA 52544-1170

Phone

(641) 684-6896

Fax

(641) 226-5759

NPI assigned

May 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brook620546@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Hills Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Centerville, IA
  • NPI 1447597844
  NPD (past)
• River Hills Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Ottumwa, IA
  • NPI 1912952367
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1477964476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525010458",
            "telephone_number": "641-684-6896",
            "fax_number": "641-226-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N 18TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441170",
            "telephone_number": "641-684-6896",
            "fax_number": "641-226-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOK",
        "first_name": "BRANDON",
        "middle_name": "WESLEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9513",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "09361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100320080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Hills Community Health Center Inc
• River Hills Community Health Center Inc
• River Hills Community Health Center Inc
• River Hills Community Health Center Inc.
• Ron M. Harshman, DDS
• Mayra Rook, DDS
• Rural Diagnostic Radiology, Inc
• Rachel Lee Ryals, PHARMD
• Cyntha Susanne See, CADC
• Jackie Ann Sharp, LISW

• Dentist in Centerville, IA
• Providers in Centerville, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.