Active NPI
Brooke King Neisler, DMD
- Dentist
- Beaufort, SC
National Provider Identifier
1972175875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9893
- Practice address
- 674 Boulevard de France
Beaufort, SC 29905 - Phone
- (843) 228-3500
- NPI assigned
- Jul 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9893 | SC | Primary |
Addresses
Primary practice location
674 Boulevard de France
Beaufort, SC 29905
Mailing address
1907 Columbia St Apt 400
San Diego, CA 92101-2219
Phone (803) 236-7418
Other names 1
- Brooke Denise King
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 |
|---|---|---|---|
| 9893 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1972175875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 COLUMBIA ST APT 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012219",
"telephone_number": "803-236-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 BOULEVARD DE FRANCE",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29905",
"telephone_number": "843-228-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEISLER",
"first_name": "BROOKE",
"middle_name": "KING",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2024-08-09",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "KING",
"middle_name": "DENISE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beaufort, SC
- National Vision Inc (America's Best)
- Nations Sleep Disorder Center of the Low Country LLC
- Nations Sleep Disorders Center LLC
- Naval Hospital Beaufort
- Shelby Neeley
- Carly Clegg Nelson
- Dawn Marie Nelson
- Nephrology and Hypertension Medical Associates PC
- Mitchell Declan Nestler, PTA
- New Beginnings Therapeutic Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.