Adam Charles Brewer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6010 Issued in OK

Practice address

101 N Douglas Blvd
Ste T
Midwest City, OK 73130-3329

Phone

(405) 888-5379

Fax

(405) 888-5380

NPI assigned

Jun 9, 2008

Sex

Male

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

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1518126085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10587 HIGHWAY 76",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734381711",
            "telephone_number": "580-668-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N DOUGLAS BLVD",
            "address_2": "STE T",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303329",
            "telephone_number": "405-888-5379",
            "fax_number": "405-888-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ADAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayesha Bradley
• Courtney Branch, M.S. CCC-SLP
• Byron Keith Brannon
• Sydney Breckenridge
• Brent T. Amaya D.D.S. P.L.L.C. (Diamond Dental)
• Mary Alison Brewer, PHARMD
• Melvyna A. Brewer
• Richard Arnold Brewster
• Charles Austin Brickman, D.C.
• Mark Briscoe

• General Practice Dentistry in Midwest City, OK
• Providers in Midwest City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.