DR. CHRISTOPHER PAUL BROOKS (NPI# 1396952016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396952016 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER PAUL BROOKS |
| Credential | DDS |
| Practice Address |
608 W State St Fox Lake WI 53933 |
| Mailing Address |
Po Box 26 608 W State St Fox Lake WI 53933 |
| Practice Telephone | 9209282228 |
| Practice Fax Number | 9209282268 |
| Mailing Telephone | 9209282228 |
| Mailing Fax Number | 9209282268 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | 2578 | WI | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
2578 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578900817 | Christopher Ray Brooks | Counselor | 7357 Sepulveda Blvd, 50, Van Nuys, CA 91405-1759 | 2013-05-28 |
| 1831486869 | Christopher Benjamin Brooks | Family Medicine | Womack Army Medical Center 2817 Reilly St, Family Medicine Clinic, Fort Bragg, NC 28310-7324 | 2011-06-28 |
| 1184694952 | Christopher J M Brooks | Plastic Surgery | 3800 Johnson St, Ste G, Hollywood, FL 33021-6030 | 2006-01-25 |
| 1003349630 | Christopher David Brooks | Student in an Organized Health Care Education/Training Program | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2017-04-10 |
| 1497292437 | Christopher Jordan Brooks | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2017-01-29 |
| 1821140237 | Christopher Michael Brooks | Psychologist | 2920 Marietta Hwy, Suite 104, Canton, GA 30114-8212 | 2007-01-17 |
| 1871674812 | Christopher S. Brooks | Physician Assistant | 55 Lake Ave N, Department of Critical Care Medicine, Worcester, MA 01655-0002 | 2006-10-18 |
| 1891890257 | Christopher Kim Brooks | Emergency Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2006-09-13 |
| 1871511568 | Christopher B Brooks | Emergency Medicine | 400 S Kingshighway Blvd, Dept Emergency Medicine, Saint Louis, MO 63110-1014 | 2006-07-18 |
| 1033119193 | Christopher Kyle Brooks | Chiropractor | 3065 S Cobb Dr Se, Suite B, Smyrna, GA 30080-7809 | 2005-07-29 |
| Street Address |
608 W STATE ST |
| City | FOX LAKE |
| State | WI |
| Zip Code | 53933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389615 | Jodi Wray | Technician | 202 Booth St #202, Fox Lake, WI 53933 | 2019-10-30 |
| 1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
| 1265513741 | Craig Edward Mahlum | Dentist | W10237 Lake Emily Road, Fox Lake, WI 53933 | 2006-10-18 |
| 1578100772 | Amy Denneau | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2019-12-06 |
| 1184671448 | Fox Lake Community Fire Association | Ambulance | 246 E State St, Fox Lake, WI 53933-8027 | 2006-05-30 |
| 1578810685 | Tina Brown | Licensed Practical Nurse | 211 Spring St, Fox Lake, WI 53933-8034 | 2012-08-08 |
| 1518928662 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 703 W State St, Fox Lake, WI 53933-9550 | 2006-03-29 |
| 1205827631 | Cindy B Hankes | Nurse Practitioner | 703 State St, Fox Lake, WI 53933-9550 | 2005-11-03 |
| 1366971681 | Rebecca Ann Mayer | Nurse Practitioner | 703 W State St, Fox Lake, WI 53933-9550 | 2017-06-09 |
| 1497897565 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 703 W State St, Fox Lake, WI 53933-9550 | 2007-02-13 |
| Find all providers in zip 53933 | ||||
| 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 |
|---|---|---|---|---|
| 1265513741 | Craig Edward Mahlum | Dentist | W10237 Lake Emily Road, Fox Lake, WI 53933 | 2006-10-18 |
| 1124124821 | Thomas Love Prendergast | Dentist | 1394 S Route 12, Fox Lake, IL 60020-1949 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| 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.