DR. BROOKE M DIX (NPI# 1790030393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790030393 |
Entity Type | Individual |
Full Name | DR. BROOKE M DIX |
Credential | DPM |
Practice Address |
305 South Dr 6 Mountain View CA 94040-4200 |
Practice Telephone | 6502158722 |
Practice Fax Number | 6509640720 |
Mailing Telephone | 6502158722 |
Mailing Fax Number | 6509640720 |
Enumeration Date | 2012-07-19 |
Last Update Date | 2016-07-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | E5088 | CA | Podiatric Medicine & Surgery Service Providers |
N | 213EP0504X |
Podiatrist Specialization: Public Medicine |
E5088 | CA | Podiatric Medicine & Surgery Service Providers |
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E5088 | CA | Podiatric Medicine & Surgery Service Providers |
N | 213ER0200X |
Podiatrist Specialization: Radiology |
E5088 | CA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
E5088 | CA | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5088 | CA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
E5088 | CA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LICENSE | E-5088 | 01 |
Street Address |
305 SOUTH DR 6 |
City | MOUNTAIN VIEW |
State | CA |
Zip Code | 94040-4200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114997434 | Raymond Michael Shaheen I | Surgery | 305 South Dr, Suite 7, Mountain View, CA 94040-4200 | 2006-01-26 |
1417282104 | Robert M. Lowen, Md. Inc. | Plastic Surgery | 305 South Dr, Suite 1, Mountain View, CA 94040-4200 | 2009-10-13 |
1619120037 | Daniel Wayne Nelson | Dentist | 305 South Dr, Suite 8, Mountain View, CA 94040-4200 | 2008-10-29 |
1992982144 | Raymond M Shaheen Md Inc | Surgery | 305 South Dr, Suite 7, Mountain View, CA 94040-4207 | 2008-01-29 |
1093938649 | Yueru Wu | Acupuncturist | 305 South Dr, Suite 3, Mountain View, CA 94040-4207 | 2007-04-11 |
1700943842 | Ronald Z Hoffman | Family Medicine | 305 South Dr, Suite 5, Mountain View, CA 94040-4200 | 2007-01-01 |
1659452787 | Robert Marshall Lowen | Specialist | 305 South Dr, Suite1, Mountain View, CA 94040-4200 | 2006-10-17 |
1134210008 | Maciej J Kieturakis | Surgery | 305 South Dr, #7, Mountain View, CA 94040 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
Find all providers in zip 94040 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184622433 | Leehsin Billy Fang | Podiatrist | 2500 Hospital Drive, Bldg15, Suite 4, Mountain View, CA 94040-4106 | 2005-07-11 |
1720518202 | Ryan Mark Sherick | Podiatrist | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2017-06-15 |
1689107450 | Nilin M Rao | Podiatrist | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2017-04-07 |
1841652450 | Tenaya West | Podiatrist | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2016-03-23 |
1427435718 | Eric Shi | Podiatrist | 701 E El Camino Real, Mountain View, CA 94040 | 2015-05-06 |
1225456361 | Christopher Sullivan Bourke Jr. | Podiatrist | 701 E El Camino Real, Mountain View, CA 94040 | 2014-04-05 |
1851695712 | Nicholas Todd | Podiatrist | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2011-01-06 |
1649446378 | Bao Tram Deserie Lu | Podiatrist | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2008-05-02 |
1578758116 | Meagan Jennings | Podiatrist | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2007-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
Find all providers with the same taxonomy |
City | MOUNTAIN VIEW |
Zip Code | 94040 |
Please comment or provide details below to improve the information on DR. BROOKE M DIX.
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.