Active NPI
Charlotte Haught
- Dentist
- Port Saint Lucie, FL
National Provider Identifier
1477112704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24267
- Practice address
- 3037 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-3226 - Phone
- (772) 212-2760
- NPI assigned
- Jun 11, 2019
- Last updated
- Jun 11, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN24267 | FL | Primary |
Addresses
Primary practice location
3037 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-3226
Mailing address
3037 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-3226
Phone (772) 212-2760
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 |
|---|---|---|---|
| DN24267 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1477112704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3037 SW PORT ST LUCIE BLVD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349533226",
"telephone_number": "772-212-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3037 SW PORT ST LUCIE BLVD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349533226",
"telephone_number": "772-212-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGHT",
"first_name": "CHARLOTTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
- Enola Harrison, RN,BSN,CM/DN
- Celia Hart, COTA
- Has Consulting LLC
- Elizabeth Hatz, D.O.
- Ross Andrew Hauer, DMD
- Owayne Haughton, D.M.D
- Jennifer Elaine Haynes, LMHC
- HCA Health Services of Florida, Inc. (Wound Care at HCA Florida St. Lucie Hospital)
- HCA Health Services of Florida, Inc. (HCA Florida Darwin Square Emergency, a department of HCA Florida St. Lucie Hospital)
- Healing Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.