Active NPI
Brittany Freese, DENTAL HYGIENIST
- Dental Hygienist
- Farmington, MO
National Provider Identifier
1457019796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2014015687
- Practice address
- 2820 Anchor Dr
Farmington, MO 63640-7387 - Phone
- (855) 944-5437
- NPI assigned
- Dec 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2014015687 | MO | Primary |
Addresses
Primary practice location
2820 Anchor Dr
Farmington, MO 63640-7387
Mailing address
2820 Anchor Dr
Farmington, MO 63640-7387
Phone (855) 944-5437
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Farmington |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2014015687 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1457019796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 ANCHOR DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636407387",
"telephone_number": "855-944-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 ANCHOR DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636407387",
"telephone_number": "855-944-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREESE",
"first_name": "BRITTANY",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2014015687",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Farmington",
"affiliation": "N",
"address_1": "2820 Anchor Dr",
"city": "Farmington",
"state": "MO",
"country_code": "US",
"postal_code": "636407387",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.