MR. DANIEL RAY BROOKS (NPI# 1326359316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326359316 |
| Entity Type | Individual |
| Full Name | MR. DANIEL RAY BROOKS |
| Credential | C.PED |
| Practice Address |
6052 S Sheridan Rd Tulsa OK 74145-9212 |
| Practice Telephone | 9184880400 |
| Practice Fax Number | 9184888282 |
| Mailing Telephone | 9184880400 |
| Mailing Fax Number | 9184888282 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2012-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | LPED122 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PED | CPED3358 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043500028 | Daniel John Brooks | Social Worker | 101 Sterling Pl, Brooklyn, NY 11217-3365 | 2011-04-12 |
| 1316041312 | Daniel P Brooks | Counselor | 9983 Perry Highway, Mercy Behavioral Health, Wexford, PA 15090-9297 | 2006-09-11 |
| 1114536547 | Daniel Spencer Brooks | Nurse Practitioner | 5860 Ranch Lake Blvd Ste 200, Lakewood Ranch, FL 34202-3719 | 2020-07-31 |
| 1891345872 | Daniel Brooks | Behavior Technician | 5900 W Chester Rd Ste C, West Chester, OH 45069-2951 | 2019-09-12 |
| 1538589692 | Daniel Brooks | Counselor | 1830 Water Pl Se Ste 200, Atlanta, GA 30339-2042 | 2014-04-16 |
| 1144519000 | Daniel C Brooks | Psychiatry & Neurology | 20 York St, New Haven, CT 06510-3220 | 2011-03-31 |
| 1932428984 | Daniel Brooks | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015 | 2010-05-28 |
| 1225238561 | Daniel R Brooks | Ophthalmology | 222 N 2nd St, Ste 215, Boise, ID 83702-6109 | 2007-07-24 |
| 1073638466 | Daniel Herbert Brooks | General Acute Care Hospital | 720 Blackburn Rd, Sewickley, PA 15143-1459 | 2007-03-21 |
| 1376656082 | Daniel Attila Brooks | Psychiatry & Neurology | 10,000 Bay Pines Boulevard, Bay Pines, FL 33744 | 2006-08-16 |
| Street Address |
6052 S SHERIDAN RD |
| City | TULSA |
| State | OK |
| Zip Code | 74145-9212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083788947 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2006-11-20 |
| 1720515810 | Elizabeth Marie Devries | Orthotist | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2017-05-19 |
| 1487181673 | Stephen Garrett Silva | Orthotic Fitter | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2017-05-18 |
| 1790922334 | Peggy J Miner | Orthotic Fitter | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2009-01-20 |
| 1922245679 | James E Yount | Orthotist | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619528627 | Kristin Dee Cline | Pedorthist | 6565 S Yale Ave Ste 909, Tulsa, OK 74136-8310 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965404 | Sanjuana Caballero D B A Loveless Shoes Inc LLC | Pedorthist | 4901 W Reno Ave Ste 800, Oklahoma City, OK 73127-6398 | 2020-06-04 |
| 1083109250 | James Matthew Hudson | Pedorthist | 924 Nw 38th St, Lawton, OK 73505-3703 | 2018-06-28 |
| 1245771393 | Kyle Russell | Pedorthist | 921 Ne 13th St, Prosthetics Department, Oklahoma City, OK 73104-5007 | 2017-03-09 |
| 1578913158 | Seth Demuth | Pedorthist | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2016-06-15 |
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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.