Brooks M Larson DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BROOKS M LARSON DDS INC

Practice address

235 S Flower Ave
Brea, CA 92821-4945

Phone

(714) 256-9332

Fax

(714) 256-9330

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brooks M Larson, D.D.S.

Title

President/Owner

Phone

(714) 256-9332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1598095630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S FLOWER AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214945",
            "telephone_number": "714-256-9332",
            "fax_number": "714-256-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S FLOWER AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214945",
            "telephone_number": "714-256-9332",
            "fax_number": "714-256-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS M LARSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-256-9332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Brea, CA
• Providers in Brea, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.