Active NPI
Brooke Elizabeth Hikade, D.M.D.
- General Practice Dentistry
- Anchorage, AK
National Provider Identifier
1982869665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1352
- Practice address
- 2805 Dawson St
#101
Anchorage, AK 99503-3800 - Phone
- (907) 562-6456
- Fax
- (907) 562-0009
- NPI assigned
- Jul 22, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1352 | AK | Primary |
| General Practice Dentistry | 1223G0001X | D9141 | OR |
Addresses
Primary practice location
2805 Dawson St
#101
Anchorage, AK 99503-3800
Mailing address
2805 Dawson St
#101
Anchorage, AK 99503-3800
Phone (907) 562-6456
Other names 1
- Dr. Brooke Elizabeth Hikade McNeil
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 25, 2014 through Nov 25, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1352 | AK | MD | General Practice Dentistry |
| D9141 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooke Hikade Wyatt, DMD, LLC | General Practice | Current | Accepting new patients |
| Guy J Burk DMD LLC | General Practice | Past | Accepting new patients |
| Donald E Burk DMD PC | General Practice | Past | Accepting new patients |
| Wyatt & Casebeer Dental LLC | Past | Accepting new patients |
Locations
14210 SE Sunnyside Rd
Ste 200
Clackamas, OR 97015
Phone (503) 541-5104
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Clackamas, OR
- NPI 1548954381
-
- General Practice Dentistry
- Anchorage, AK
- NPI 1093889230
-
- General Practice Dentistry
- Anchorage, AK
- NPI 1487970406
-
- Dental Clinic/Center
- Clackamas, OR
- NPI 1235015280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286064000000",
"number": "1982869665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 DAWSON ST",
"address_2": "#101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033800",
"telephone_number": "907-562-6456",
"fax_number": "907-562-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 DAWSON ST",
"address_2": "#101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033800",
"telephone_number": "907-562-6456",
"fax_number": "907-562-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIKADE",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2010-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "1352",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D9141",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "HIKADE MCNEIL",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "D.M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.