Dr. Brooks Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

64234 Issued in CA

Legal business name

DR. BROOKS DENTAL CORP

Practice address

508 Red Hill Ave
San Anselmo, CA 94960-2436

Phone

(415) 457-2244

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Bass Brooks, DMDNPI 1326192030

Title

Ceo

Phone

(415) 457-2244

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Brooks DMD Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Bass Brooks, D.M.D.

  • General Practice Dentistry
  • San Anselmo, CA
  • NPI 1326192030
  NPD (past) Authorized official
• David P Vanpeursem, D.D.S.

  • General Practice Dentistry
  • San Anselmo, CA
  • NPI 1366653743
  NPD (past)

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1972993657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 RED HILL AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602436",
            "telephone_number": "415-457-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 RED HILL AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602436",
            "telephone_number": "415-457-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BROOKS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BASS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-457-2244",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Brooks DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Defino, DC
• Noah Chris Dehlinger, DDS
• Kathrin Dellago
• Alexander Lewis Dewolfe, RADT
• Andrea Dindinger de Csepel
• Amanda Dunn, RN, PHN
• Alma Dunstan-McDaniel, MFT
• Travis Peter Duro, P.T., D.P.T., MPT
• Michael Durphy, M.D.
• Susan Edelstein, PHD

• Dental Clinic/Center in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.