Lashandia Renae Brooks, (DDS)

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013978 Issued in GA

Practice address

2440 Fairburn Rd SW
Suite 301
Atlanta, GA 30331-5256

Phone

(404) 349-7777

Fax

(404) 349-8459

NPI assigned

Feb 10, 2010

Last updated

Aug 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powder Springs Dentistry for Kids, LLC

  • General Practice Dentistry
  • Powder Springs, GA
  • NPI 1497547806
  NPD Authorized official
• Family and Children's Dentistry & Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Atlanta, GA
  • NPI 1922764653

  General Practice

  NPD (past)
• Family and Children's Dentistry, PC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1972654044
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1710219118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 FAIRBURN RD SW",
            "address_2": "SUITE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315256",
            "telephone_number": "404-349-7777",
            "fax_number": "404-349-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 FAIRBURN RD SW",
            "address_2": "SUITE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315256",
            "telephone_number": "404-349-7777",
            "fax_number": "404-349-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LASHANDIA",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "(DDS)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134434378E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimeisha Brooks
• John Trow Brooks, M.D.
• Kelsey Mae Brooks, B.S.
• Kristal Javon Brooks, RN, MSN, NP-C
• Kristy Nicole Brooks, PHARMACY TECHNICIAN
• Lauren Brooks
• Lenader Brooks
• Lisley Toledo Brooks, PHARMD
• Mark A Brooks, PH.D.
• Mark S Brooks, MSW

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.