Brookside Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012266A Issued in IN

Legal business name

BROOKSIDE DENTAL CARE, LLC

Practice address

2536 E 10TH St
Indianapolis, IN 46201-2155

Phone

(317) 731-2677

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Deept Rana, DDS

Title

Member

Phone

(734) 369-7375

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1700264454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 WINDBOROUGH",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461129341",
            "telephone_number": "734-369-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012155",
            "telephone_number": "317-731-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "DEEPT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-369-7375",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012266A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Brooks
• Samuel Patrick Brooks
• Scott Brooks
• Tonya Brooks
• Mary Ann Brookshire, NP
• Valerie Brookwalter, RBT
• Brookwood Denture Specialists, Inc
• Richard Allen Broome, BS LAC
• George Frank Broomfield Sr., C.N.A
• Chelsey Brophy

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.