Organization Active NPI

Brookings Embrace Dental Clinic LLC

  • General Practice Dentistry
  • Brookings, SD
National Provider Identifier
1497476097
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BROOKINGS EMBRACE DENTAL CLINIC LLC
Practice address
2220 Yorkshire Dr
Brookings, SD 57006-2442
Phone
(605) 697-6262
Fax
(605) 307-1550
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Jeanne Myers
Title
Credentialing Coordinator
Phone
(605) 884-9341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2220 Yorkshire Dr
Brookings, SD 57006-2442

Mailing address

2220 Yorkshire Dr
Brookings, SD 57006-2442
Phone (605) 697-6262

National Provider Directory

National Provider Directory

Locations

2220 Yorkshire Dr
Brookings, SD 57006
Phone (605) 697-6262

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1497476097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 YORKSHIRE DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062442",
            "telephone_number": "605-697-6262",
            "fax_number": "605-307-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 YORKSHIRE DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062442",
            "telephone_number": "605-697-6262",
            "fax_number": "605-307-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKINGS EMBRACE DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "605-884-9341"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.