Organization Active NPI

Nicole B. Barrineau D.D.S., P.a.

  • General Practice Dentistry
  • Gulf Breeze, FL
National Provider Identifier
1225161862
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NICOLE B. BARRINEAU D.D.S., P.A.
Practice address
3404 Santa Rosa Dr
Gulf Breeze, FL 32563-5665
Phone
(850) 934-2717
NPI assigned
Mar 13, 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
Dr. Nicole B. Barrineau, D.D.S.NPI 1083010904
Title
Owner
Phone
(850) 934-2720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3404 Santa Rosa Dr
Gulf Breeze, FL 32563-5665

Mailing address

3404 Santa Rosa Dr
Gulf Breeze, FL 32563-5665
Phone (850) 934-2717

National Provider Directory

National Provider Directory

Locations

3404 Santa Rosa Dr
Gulf Breeze, FL 32563
Phone (850) 934-2717

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225161862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 SANTA ROSA DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635665",
            "telephone_number": "850-934-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 SANTA ROSA DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635665",
            "telephone_number": "850-934-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE B. BARRINEAU D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRINEAU",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-934-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, 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.