Cia M Brooks, DDS
Individual provider Active NPI General Practice Dentistry · Sanger, CA
NPI 1851170518 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1851170518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 109515 (CA)
- Practice address
- 1570 7TH St
Sanger, CA 93657-2402 - Phone
- (559) 513-8117
- NPI assigned
- Sep 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109515 | CA | MD | General Practice Dentistry |
Interoperability endpoints
- cia.brooks.1@17661.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 109515 | CA | Yes |
Addresses
Primary practice location
1570 7TH St
Sanger, CA 93657-2402
Mailing address
1570 7TH St
Sanger, CA 93657-2402
Other providers in Sanger, CA
- Alejandra Jaimes Bedolla
- John Bejeckian
- Felicia Betancourt
- Blue Line Medical Transportation LLC
- Kelly V Boulom
- Khoa Bui
- Geraldo Camara
- Denise Marie Cantu
- Maraya Dezzarey Carreno
- Malenni Stephanie Castaneda
All providers in Sanger, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.