NPIMap

Organization Active NPI

Prouty Brookings Dental, LLC

  • Dentist
  • Brookings, SD
National Provider Identifier
1538510482
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M983 Issued in SD
Legal business name
PROUTY BROOKINGS DENTAL, LLC
Practice address
2220 Yorkshire Dr
Brookings, SD 57006-2442
Phone
(605) 697-6262
Fax
(605) 692-1521
NPI assigned
Jun 22, 2016
Last updated
Jun 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Brian Kelly Prouty, DDSNPI 1467514984
Title
Owner
Phone
(605) 886-8394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M983 SD 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

Practitioners & affiliated clinicians

Practitioners 3

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": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1538510482",
    "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": "605-692-1521"
        },
        {
            "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": "605-692-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUTY BROOKINGS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "PROUTY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-886-8394",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M983",
            "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 Jun 22, 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.