DR. DANA MICHELLE BROTHERTON (NPI# 1285716811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285716811 |
| Entity Type | Individual |
| Full Name | DR. DANA MICHELLE BROTHERTON |
| Credential | D.D.S.,M.D. |
| Practice Address |
11970 Wilcrest Dr Suite 101 Houston TX 77031-1923 |
| Practice Telephone | 2819339950 |
| Practice Fax Number | 2819339953 |
| Mailing Telephone | 2819339950 |
| Mailing Fax Number | 2819339953 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
17060 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS PROVIDER # | 8B9090 | 01 |
| TX | AETNA PROVIDER # | 7453145 | 01 |
| Street Address |
11970 WILCREST DR SUITE 101 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77031-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548213432 | Colonial Healthcare Inc | Home Health | 11970 Wilcrest Dr, 103, Houston, TX 77031-1923 | 2006-05-19 |
| 1174062921 | Palliative Care Saint Lukes LLC | Hospice Care, Community Based | 11970 Wilcrest Dr, Houston, TX 77031-1923 | 2017-02-13 |
| 1104908714 | Brian Douglas Stapp | Dentist | 11970 Wilcrest Dr, Suite 101, Houston, TX 77031-1923 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185807 | Mosunmola Feyisetan Pikuda | Registered Nurse | 9200 West Bellfort Street, Apt 48, Houston, TX 77031 | 2018-08-28 |
| 1215413109 | Zleep Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 10511 Windsor Ln, Suite B111, Houston, TX 77031 | 2018-07-14 |
| 1821443367 | Westside Surgical Hospital, LLC | General Acute Care Hospital | 11375 W Sam Houston Pkwy, Suite 150, Houston, TX 77031 | 2016-05-03 |
| 1982028023 | Icon Health Services LLC | Home Health | 9102 Travistock Drive, Houston, TX 77031 | 2014-02-10 |
| 1033450739 | Healthchoice Pharmacy LLC | Pharmacy | 10001 West Bellfort, Houston, TX 77031 | 2013-03-06 |
| 1578873204 | Frances Uchenna Anyigbo | Intermediate Care Facility, Mentally Retarded | 11014 Ranier Dr, Houston, TX 77031 | 2010-10-15 |
| 1992014013 | Healthchoice Dme | Durable Medical Equipment & Medical Supplies | 10001 W. Bellfort Ste., K, Houston, TX 77031 | 2010-10-07 |
| 1811203375 | Tiffany Landry | Pharmacy Technician | 9222 Petersham Dr, Houston, TX 77031 | 2010-08-23 |
| 1356673990 | Latranda W Thurmond | Counselor | 10714 Silkwood Dr, Housotn, TX 77031 | 2010-02-08 |
| 1659563062 | Newlife Dme Supplies Inc. | Durable Medical Equipment & Medical Supplies | 10710 S Sam Houston Pkwy S., # 250, Houston, TX 77031 | 2007-08-10 |
| Find all providers in zip 77031 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932655388 | Ahmad Millwala Omfs Pllc | Dentist | 16226 Pinon Vista Dr, Houston, TX 77095-7196 | 2016-08-26 |
| 1972956571 | Chad R Seabold Dds Md | Dentist | 4550 Post Oak Place Dr Ste 160, Houston, TX 77027-3127 | 2016-07-19 |
| 1043668007 | North Houston Oral Surgery Group,pllc | Dentist | 152 Fm 1960 Rd, Suite D, Houston, TX 77073-1815 | 2016-06-01 |
| 1033580436 | West Houston Oral Surgery Group Pllc | Dentist | 12121 Richmond Ave Ste 316, Houston, TX 77082-2437 | 2015-10-12 |
| 1063897387 | Memorial Oral and Maxillofacial Surgery | Dentist | 7700 San Felipe St Ste 220, Houston, TX 77063-1612 | 2015-07-28 |
| 1568851277 | James R Peoples, Dds, Pllc | Dentist | 10497 Town and Country Way Ste 410, Houston, TX 77024-1130 | 2015-01-19 |
| 1265879019 | Dr. Sean Kim Dds Md Pllc | Dentist | 1800 W 26th St Ste 205, Houston, TX 77008-1450 | 2013-06-03 |
| 1467709865 | Summerwood Oral & Maxillofacial Surgery | Dentist | 13141 W Lake Houston Pkwy, Ste. 700, Houston, TX 77044 | 2012-08-06 |
| 1194011833 | Davin Joseph Schmidt | Dentist | 7500 Cambridge St Ste 6510, Houston, TX 77054-2032 | 2011-06-21 |
| 1518262112 | John D Smith Dds & Joseph J Chen Dds Inc | Dentist | 11455 Fallbrook Dr Ste 302, Houston, TX 77065-4268 | 2011-01-13 |
| Find all providers in HOUSTON | ||||
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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.