Active NPI
Megan Ann Schenck
- Dental Hygienist
- Miramar Beach, FL
National Provider Identifier
1770171167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH23796
- Practice address
- 12273 Emerald Coast Pkwy W Ste 117
Miramar Beach, FL 32550-6945 - Phone
- (386) 623-0569
- NPI assigned
- Jan 2, 2021
- 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 | DH23796 | FL | Primary |
Addresses
Primary practice location
12273 Emerald Coast Pkwy W Ste 117
Miramar Beach, FL 32550-6945
Mailing address
409 Fir Ave
Niceville, FL 32578-1327
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 |
|---|---|---|---|
| DH23796 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1770171167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 FIR AVE",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12273 EMERALD COAST PKWY W STE 117",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "325506945",
"telephone_number": "386-623-0569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENCK",
"first_name": "MEGAN",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-02",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH23796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar Beach, FL
- Sandestin Radiology Services, LLC
- Sandestin Urgent Care, LLC
- Santa Rosa Wellness Spa, P.a. (West Florida Back & Neck)
- Miguel Enrique Santana Herrera, MD
- Julie M Sayers, P.A.-C
- Amanda Scheppe
- Eric Mahlon-Paul Scheufler, D.M.D, M.D. P.A.
- Audrey Schoolcraft
- Cynthia Ann Scoggin, L.M.T.
- Seacrest Dental II LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.