Active NPI
Brookfield Family Dentistry
- General Practice Dentistry
- Brookfield, WI
National Provider Identifier
1508035445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3801
- Legal business name
- BROOKFIELD FAMILY DENTISTRY
- Practice address
- 17185 W North Ave
Brookfield, WI 53005-4428 - Phone
- (262) 821-1000
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Thaddeous Tang, D.D.S.
- Title
- President
- Phone
- (262) 821-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3801 | WI | Primary |
Addresses
Primary practice location
17185 W North Ave
Brookfield, WI 53005-4428
Mailing address
17185 W North Ave
Brookfield, WI 53005-4428
Phone (262) 821-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386867679 | Other | WI | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Brookfield, WI
- NPI 1386867679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203897600000",
"number": "1508035445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17185 W NORTH AVE",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054428",
"telephone_number": "262-821-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17185 W NORTH AVE",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054428",
"telephone_number": "262-821-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKFIELD FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2008-02-25",
"status": "A",
"authorized_official_last_name": "TANG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "THADDEOUS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "262-821-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "3801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1386867679",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
- Brookfield Anesthesiologists, S.C.
- Brookfield Cardiovascular Associates, SC
- Brookfield Dental Center LLC
- Brookfield Dentistry SC
- Brookfield Emergency Physicians SC
- Brookfield Family Eye Care, LLC
- Brookfield Heart and Vascular
- Brookfield Heart and Vascular LLC
- Brookfield Prescription Center Inc
- Brookfield Radiology, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.