Active NPI
Brooke Kirby, DDS
- Dentist
- Hutto, TX
National Provider Identifier
1588554190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41616
- Practice address
- 5002 Gattis School Rd Ste 200
Hutto, TX 78634-2028 - Phone
- (512) 717-6049
- NPI assigned
- Jul 7, 2025
- Last updated
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41616 | TX | Primary |
Addresses
Primary practice location
5002 Gattis School Rd Ste 200
Hutto, TX 78634-2028
Mailing address
11701 Dionda LN Apt 6106
Del Valle, TX 78617-0059
Phone (319) 361-5787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250917004075 | TX | Order and Referring Only - Dentist | 1759885213 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41616 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1588554190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11701 DIONDA LN APT 6106",
"city": "DEL VALLE",
"state": "TX",
"postal_code": "786170059",
"telephone_number": "319-361-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 GATTIS SCHOOL RD STE 200",
"city": "HUTTO",
"state": "TX",
"postal_code": "786342028",
"telephone_number": "512-717-6049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "BROOKE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.