DR. SCOTT BROOKSHIRE (NPI# 1629418272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629418272 |
| Entity Type | Individual |
| Full Name | DR. SCOTT BROOKSHIRE |
| Practice Address |
407 Spruce St. Craig AK 99921 |
| Mailing Address |
Po Box 168 Craig AK 99921-0168 |
| Practice Telephone | 9078262273 |
| Mailing Telephone | 9078262273 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 41359 | CA | Dental Providers |
| Y | 122300000X | Dentist | 855 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIF STATE LICENSE NUMBER | 41359 | 01 |
| AK | ALASKA STATE LICENSE NUMBER | 855 | 01 |
| Street Address |
407 SPRUCE ST. |
| City | CRAIG |
| State | AK |
| Zip Code | 99921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801426515 | Leigh Ann White | Social Worker | 1 800 C-k Hwy, Suite #241, Craig, AK 99921 | 2020-01-22 |
| 1154887602 | Gayle Virginia Townsend | Counselor | 333 Cold Storage Dr., Craig, AK 99921 | 2019-02-20 |
| 1811366503 | Barbara Skan | Counselor | 1305 Craig Klawock Hwy, Craig, AK 99921 | 2015-09-23 |
| 1265821359 | Southeast Alaska Regional Health Consortium | Clinic/Center | 1305 Craig-klawock Hwy, Craig, AK 99921 | 2015-01-13 |
| 1588931877 | Jeffries George Nickerson | Emergency Medical Technician, Intermediate | 7300 Klawock-hollis, Klawock, AK 99921 | 2011-11-30 |
| 1578794863 | City of Craig, Inc. | Family Medicine | 506 3rd St., Craig, AK 99921 | 2009-08-04 |
| 1871732677 | Julie Lynch Mcdonald | Pharmacist | 333 Cold Storage Road, Craig, AK 99921 | 2009-02-18 |
| 1861686966 | Michael Alexander Melendrez Sr. | Chiropractor | 1908 Hamilton Dr, Craig, AK 99921 | 2007-08-31 |
| 1538388905 | Beverlee Joesten-tyner | Case Manager/Care Coordinator | 1 Easy St., Craig, AK 99921 | 2007-04-24 |
| 1780803155 | Cari Jones | Case Manager/Care Coordinator | 1 Easy Street, Craig, AK 99921 | 2007-04-24 |
| Find all providers in zip 99921 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295920155 | Owen L Atkin | Dentist | 965 W Victory Way, Craig, CO 81625-2937 | 2007-09-12 |
| 1730306804 | Gregory J Reinhold | Dentist | 485 Yampa Ave, Craig, CO 81625-2609 | 2007-04-19 |
| 1942328042 | Southeast Dental Centers Inc. | Dentist | 407 Spruce Street, Craig, AK 99921 | 2007-03-27 |
| 1295735546 | Neal L Fenton | Dentist | 580 Pershing St, Craig, CO 81625-3047 | 2005-07-28 |
| 1255823688 | Jason Edward Shockley | Dentist | 580 Pershing St, Craig, CO 81625 | 2018-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081558 | Arne Anton Krogh | Dentist | 2665 E Tudor Rd Ste 300, Anchorage, AK 99507-1144 | 2020-10-22 |
| 1518574052 | Evergreen Dental, LLC | Dentist | 125 W Evergreen Ave Ste 204, Palmer, AK 99645-6908 | 2020-09-29 |
| 1639716574 | Todd Haskin Dmd LLC | Dentist | 360 Old Chena Pump Rd Ste A, Fairbanks, AK 99709-2936 | 2019-12-10 |
| 1821649864 | Chase A Lundin | Dentist | 4001 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5200 | 2019-09-20 |
| 1992358261 | Shaun Mcnees | Dentist | 2805 Dawson St Ste 101, Anchorage, AK 99503-3800 | 2019-07-16 |
| 1194281725 | South Gate Cosmetic & Implant Dentistry LLC | Dentist | 12570 Old Seward Hwy Ste 201, Anchorage, AK 99515-3532 | 2019-02-19 |
| 1124593769 | Luff Orthodontics Partnership LLC | Dentist | 3708 Rhone Circle, Anchorage, AK 99508 | 2018-10-10 |
| 1457835167 | Motuuf, LLC. | Dentist | 3401 Denali St Ste 201, Anchorage, AK 99503-4001 | 2018-09-18 |
| 1609356310 | Iris Ohsie | Dentist | 1921 W Dimond Blvd Ste 101, Anchorage, AK 99515-1465 | 2018-08-21 |
| 1477041721 | Sameer Kapil, Dmd, LLC | Dentist | 951 E Bogard Rd Ste 203, Wasilla, AK 99654-7176 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.