Active NPI
Brittany Brooks
- Dental Hygienist
- Fayetteville, NC
National Provider Identifier
1457649766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 9536
- Practice address
- 2029 Valleygate Dr
Fayetteville, NC 28304-3771 - Phone
- (910) 864-8884
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 9536 | NC | Primary |
Addresses
Primary practice location
2029 Valleygate Dr
Fayetteville, NC 28304-3771
Mailing address
409 Seward St
Watertown, NY 13601-1627
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1457649766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 SEWARD ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136011627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 VALLEYGATE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043771",
"telephone_number": "910-864-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "BRITTANY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NC",
"license": "9536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.