DCP of Brookfield Square, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5527-15 Issued in WI

Legal business name

DCP OF BROOKFIELD SQUARE, LLC

Doing business as

DentalWorks of Brookfield

Practice address

15375 W Bluemound Road #150
Brookfield, WI 53005-4230

Phone

(262) 923-8731

Fax

(262) 923-8737

NPI assigned

Feb 11, 2006

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTALONE PARTNERS, INCAs reported in NPPES

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

Authorized official

Name

Lauren Hill

Title

RCM, Director

Phone

(972) 930-7707

Specialties & licenses 8

Addresses

Other names 1

• DentalWorks of Brookfield Doing business as

Part of

Dental One Inc

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.

• Grace Kim Tosi, DDS

  • Dentist
  • Brookfield, WI
  • NPI 1215570528
  NPD (past)

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

{
    "created_epoch": "1139616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1659344349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 NORTH DALLAS PARKWAY SUITE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 W BLUEMOUND ROAD #150",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054230",
            "telephone_number": "262-923-8731",
            "fax_number": "262-923-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCP OF BROOKFIELD SQUARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2006-02-11",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "RCM, DIRECTOR",
        "authorized_official_telephone_number": "972-930-7707"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5527-15",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalWorks of Brookfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cara Davis, SLP
• Kassandra Davis, HIS
• Maxwell Davis, MD
• DBT Consultants LLC
• Dcdo, Inc.
• Sara L De Grave, M.S., LPC, CSAC
• Margaret Stangl Deau, RD
• Debbie S. Oldham, LCSW, Cadc-D, LLC
• John Dominic Decarlo, M.D.
• Sheri L Decker, OCCUPATIONAL THERAPI

• General Practice Dentistry in Brookfield, WI
• Providers in Brookfield, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.