Destin Plastic Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DESTIN PLASTIC SURGERY

Practice address

4485 Furling LN
Destin, FL 32541-5331

Phone

(850) 654-1194

Fax

(850) 337-1698

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Brandie Senn

Title

Office Staff

Phone

(850) 650-7606

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174720874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 FURLING LN",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415331",
            "telephone_number": "850-654-1194",
            "fax_number": "850-337-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 FURLING LN",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415331",
            "telephone_number": "850-654-1194",
            "fax_number": "850-337-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SENN",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "850-650-7606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destin Dentistry, PLLC
• Destin Eye Care PA
• Destin Health Care Associates LLC (Destin Healthcare and Rehabilitation Center)
• Destin Housecalls, LLC
• Destin Ophthalmology, PA
• Destin Primary Care Center (Doctors On Call)
• Destin Primary Care LLC
• Destin Recovery LLC
• Destin Senior Care, LLC
• Destin Surgery Center LLC

• Specialist in Destin, FL
• Providers in Destin, FL by specialty
• Specialist in Florida

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.