Brite Smiles Inc.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6616 Issued in MN

Legal business name

BRITE SMILES INC.

Practice address

320 3Rd St NW
Faribault, MN 55021-5195

Phone

(507) 475-0628

Fax

(507) 446-1098

NPI assigned

Nov 30, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Renae Dawn Blome, RDHNPI 1093969107

Title

Executive Director

Phone

(507) 475-0628

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renae Dawn Blome, RDH

  • Dental Hygienist
  • Medford, MN
  • NPI 1093969107
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1881922953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 270TH ST E",
            "address_2": "PO BOX 237",
            "city": "MEDFORD",
            "state": "MN",
            "postal_code": "550498001",
            "telephone_number": "507-475-0628",
            "fax_number": "507-446-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 3RD ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215195",
            "telephone_number": "507-475-0628",
            "fax_number": "507-446-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITE SMILES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "BLOME",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-475-0628",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H6616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Braaten, CNP
• Janine M. Brady, LICSW
• Erin Braun, PA-C, RD
• Heather Breitbach
• Donna M Bremer
• Brookdale Senior Living Communities, Inc.
• Brandy Dawn Brown, PSYD, LP
• Cynthia F. Brown, MT-BC
• Cassi Budahl
• Steven Louis Bultena, PT

• Dental Hygienist in Faribault, MN
• Providers in Faribault, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.