Active NPI
Alexis Brooks, DDS
- Dentist
- Omaha, NE
National Provider Identifier
1821764564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7884
- Practice address
- 17110 Lakeside Hills PLZ
Omaha, NE 68130-5600 - Phone
- (402) 718-8737
- NPI assigned
- Aug 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37653 | TX | |
| Dentist | 122300000X | 7884 | NE | Primary |
Addresses
Primary practice location
17110 Lakeside Hills PLZ
Omaha, NE 68130-5600
Mailing address
17665 Welch PLZ Apt 301
Omaha, NE 68135-4358
Phone (912) 674-5154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- abrooks791138@direct.ochin.org
- alexis.brooks.p1@direct.cmcentersinc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680393600000",
"number": "1821764564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17665 WELCH PLZ APT 301",
"city": "OMAHA",
"state": "NE",
"postal_code": "681354358",
"telephone_number": "912-674-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17110 LAKESIDE HILLS PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681305600",
"telephone_number": "402-718-8737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-22",
"last_updated": "2023-04-02",
"certification_date": "2023-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37653",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.