Jeffrey Eastman Brockett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61401 Issued in CA

Practice address

7776 Ivanhoe Ave Ste 100
La Jolla, CA 92037-4575

Phone

(858) 454-1468

NPI assigned

May 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Jeffrey Brockett DDS Inc

  • Dentist
  • Del Mar, CA
  • NPI 1497403232
  Medicare reassignment NPD Authorized official
• Todd D Morgan DMD Inc

  • General Practice Dentistry
  • Del Mar, CA
  • NPI 1053965327
  NPD

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1821358474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 MONTERRA TRL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301343",
            "telephone_number": "323-632-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7776 IVANHOE AVE STE 100",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374575",
            "telephone_number": "858-454-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKETT",
        "first_name": "JEFFREY",
        "middle_name": "EASTMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yael Breziner, DDS
• Brian H. Graham MD Inc
• Charles W Briscoe, DDS
• Brittany J. Noris DDS, Inc
• David E Brockett, DDS
• Megan Broderick, MFT
• Philip George Broeckel Jr., MD
• David H Broide, MB CHB
• Robert E Brookover, MD
• Amy Michele Brooks, CMT

• General Practice Dentistry in La Jolla, CA
• Providers in La Jolla, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.