Active NPI
Cheri Lynn Brubaker
- Dental Hygienist
- Millersville, PA
National Provider Identifier
1598009169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 92174214
- Practice address
- 21 Manor Oaks Dr
Millersville, PA 17551-9503 - Phone
- (717) 799-8138
- NPI assigned
- Nov 20, 2012
- 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 | 92174214 | PA | Primary |
Addresses
Primary practice location
21 Manor Oaks Dr
Millersville, PA 17551-9503
Mailing address
21 Manor Oaks Dr
Millersville, PA 17551-9503
Phone (717) 799-8138
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 |
|---|---|---|---|
| 92174214 | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1598009169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MANOR OAKS DR",
"city": "MILLERSVILLE",
"state": "PA",
"postal_code": "175519503",
"telephone_number": "717-799-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MANOR OAKS DR",
"city": "MILLERSVILLE",
"state": "PA",
"postal_code": "175519503",
"telephone_number": "717-799-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUBAKER",
"first_name": "CHERI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "92174214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.