NPIMap

Organization Active NPI

Advanced Dental Center Brooks

  • Dental Clinic/Center
  • Brooks, KY
National Provider Identifier
1689217523
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ADVANCED DENTAL CENTER BROOKS
Doing business as
Advanced Dental Center Brooks
Practice address
1064 Brooks Hill Rd
Brooks, KY 40109-5149
Phone
(502) 955-1084
NPI assigned
Oct 23, 2019
Last updated
Oct 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED DENTAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Dr. Rachel Talis, DMDNPI 1184605040
Title
President
Phone
(502) 966-4367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1064 Brooks Hill Rd
Brooks, KY 40109-5149

Mailing address

8517 Preston Hwy
Louisville, KY 40219-5301
Phone (502) 966-4367

Other names 1

  • Advanced Dental Center Brooks Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Dental Center Brooks4 organizations share this tax ID, including this one
Part of
Advanced Dental Center Brooks

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1064 Brooks Hill Rd
Brooks, KY 40109
Phone (502) 955-1084

Practitioners & affiliated clinicians

Practitioners 9

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": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1689217523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195301",
            "telephone_number": "502-966-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 BROOKS HILL RD",
            "city": "BROOKS",
            "state": "KY",
            "postal_code": "401095149",
            "telephone_number": "502-955-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CENTER BROOKS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED DENTAL CENTER, INC",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "TALIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-966-4367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Center Brooks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooks, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.