Doreen Elizabeth Freeman, RDH BS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

4389 Issued in FL

Practice address

229 Crockett Blvd
Merritt Island, FL 32953-4384

Phone

(321) 449-0833

Fax

(321) 449-0832

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coast Dental P.a.

  • Dentist
  • Merritt Island, FL
  • NPI 1114593449
  NPD
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1396348231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CROCKETT BLVD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534384",
            "telephone_number": "321-449-0833",
            "fax_number": "321-449-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CROCKETT BLVD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534384",
            "telephone_number": "321-449-0833",
            "fax_number": "321-449-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "DOREEN",
        "middle_name": "ELIZABETH",
        "credential": "RDH BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "4389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DF1112MI",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lani Mei Fong, MD
• Kent Maxwell Foster, D.O
• Roderick Anthony Foster, LMT
• Frank X Venzara Mdpa
• Frederick H. Waggener DDS PA
• Carol Stephanie Frisby, LPN
• Functionally Limitless, LLC
• Traci Lynn Futch-West, ARNP
• G Leonard Gioia MD PA
• Jessica Marie Gabrius, LPN

• Dental Hygienist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.