Tim J. Brooks DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

5217 Issued in OK

Legal business name

TIM J. BROOKS DDS INC.

Practice address

12448 Saint Andrews Dr
Oklahoma City, OK 73120-8601

Phone

(405) 752-0600

Fax

(405) 751-6362

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tim Jack Brooks, DDS

Title

President

Phone

(405) 752-0600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1700051638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12448 SAINT ANDREWS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208601",
            "telephone_number": "405-752-0600",
            "fax_number": "405-751-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12448 SAINT ANDREWS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208601",
            "telephone_number": "405-752-0600",
            "fax_number": "405-751-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM J. BROOKS DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-752-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.