Brookfield Dental Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BROOKFIELD DENTAL CENTER LLC

Practice address

17585 W North Ave Ste 210
Brookfield, WI 53045-4365

Phone

(262) 784-4222

NPI assigned

Dec 19, 2018

Last updated

Dec 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Kevin

Title

Manager

Phone

(262) 873-0510

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gil Todd Knutson, DDS

  • Dentist
  • Brookfield, WI
  • NPI 1750382719
  NPD (past)

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1649742370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 INDIAN SPRING DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182242",
            "telephone_number": "262-646-2771",
            "fax_number": "262-646-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17585 W NORTH AVE STE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454365",
            "telephone_number": "262-784-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "KEVIN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-873-0510"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kay Broderick
• Robert Brodish, M.D.
• Brookdale Senior Living Communities, Inc. (Brookdale Brookfield Capitol Drive)
• Brookfield Anesthesiologists, S.C.
• Brookfield Cardiovascular Associates, SC
• Brookfield Dentistry SC
• Brookfield Emergency Physicians SC
• Brookfield Family Dentistry
• Brookfield Family Eye Care, LLC
• Brookfield Heart and Vascular

• Dental Clinic/Center in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.