Individual provider Active NPI

Barbara St. Georges, RDH

  • Dental Hygienist
  • Stoughton, MA
National Provider Identifier
1255676193
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
13305 Issued in MA
Practice address
13 Brookdale Rd
Stoughton, MA 02072-3309
Phone
(857) 453-0547
NPI assigned
Dec 4, 2012
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 13305 MA Primary

Addresses

Primary practice location

13 Brookdale Rd
Stoughton, MA 02072-3309

Mailing address

13 Brookdale Rd
Stoughton, MA 02072-3309
Phone (857) 453-0547

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

State licenses

LicenseStateTypeSpecialty
13305MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1255676193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BROOKDALE RD",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723309",
            "telephone_number": "857-453-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BROOKDALE RD",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723309",
            "telephone_number": "857-453-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. GEORGES",
        "first_name": "BARBARA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "13305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.