Individual provider Active NPI

Brayden Oxborrow, DMD

  • General Practice Dentistry
  • Crestview, FL
National Provider Identifier
1124954987
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN31963 Issued in FL
Practice address
222 Cedar Ave
Crestview, FL 32536-2706
Phone
(850) 424-1966
NPI assigned
Jun 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN31963 FL Primary

Addresses

Primary practice location

222 Cedar Ave
Crestview, FL 32536-2706

Mailing address

222 Cedar Ave
Crestview, FL 32536-2706
Phone (850) 424-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1124954987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CEDAR AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362706",
            "telephone_number": "850-424-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CEDAR AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362706",
            "telephone_number": "850-424-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXBORROW",
        "first_name": "BRAYDEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN31963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.