Active NPI
Brenda Archambault, RDH
- Dental Hygienist
- Santa Rosa Beach, FL
National Provider Identifier
1598219032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 22387
- Practice address
- 2441 US Highway 98 W
Ste 107
Santa Rosa Beach, FL 32459-5385 - Phone
- (850) 622-2226
- NPI assigned
- Aug 13, 2016
- 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 | 22387 | FL | Primary |
Addresses
Primary practice location
2441 US Highway 98 W
Ste 107
Santa Rosa Beach, FL 32459-5385
Mailing address
471 Carson Oaks LN
Santa Rosa Beach, FL 32459-7159
Phone (850) 503-1943
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 |
|---|---|---|---|
| 22387 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471046400000",
"number": "1598219032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 CARSON OAKS LN",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324597159",
"telephone_number": "850-503-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 US HIGHWAY 98 W",
"address_2": "STE 107",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324595385",
"telephone_number": "850-622-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHAMBAULT",
"first_name": "BRENDA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-13",
"last_updated": "2016-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "22387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.