NPIMap

Organization Active NPI

Santa Rosa County Health Department - Dental

  • Public Health or Welfare Agency
  • Milton, FL
National Provider Identifier
1043347263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SANTA ROSA COUNTY HEALTH DEPARTMENT - DENTAL
Practice address
5527 Stewart St
Milton, FL 32570-4303
Phone
(850) 983-5200
Fax
(850) 983-4816
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kathleen A Devore Jones, MSPH
Title
Administrator
Phone
(850) 983-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

5527 Stewart St
Milton, FL 32570-4303

Mailing address

PO Box 929
5527 Stewart St
Milton, FL 32572-0929
Phone (850) 983-5200

Other identifiers 1

IdentifierTypeStateIssuer
02796760MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Dept of Health Central Pharmacy185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043347263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "address_2": "5527 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325720929",
            "telephone_number": "850-983-5200",
            "fax_number": "850-983-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704303",
            "telephone_number": "850-983-5200",
            "fax_number": "850-983-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA COUNTY HEALTH DEPARTMENT - DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVORE JONES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-983-5200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02796760",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.