Active NPI
Brooke Amber Hawkins
- Dentist
- Lufkin, TX
National Provider Identifier
1972123727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36594
- Practice address
- 103 N Brentwood Ste 400
Lufkin, TX 75904-7147 - Phone
- (936) 465-9266
- NPI assigned
- Apr 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 36594 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
103 N Brentwood Ste 400
Lufkin, TX 75904-7147
Mailing address
101 Elkhorn Dr
Lufkin, TX 75904-0002
Phone (210) 386-0160
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36594 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1972123727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ELKHORN DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759040002",
"telephone_number": "210-386-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N BRENTWOOD STE 400",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759047147",
"telephone_number": "936-465-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "BROOKE",
"middle_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-22",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36594",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.