Ketia Emmanuela Brutus, CRDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH25970 Issued in FL

Practice address

4300 Kings Hwy Ste 500
Port Charlotte, FL 33980-2953

Phone

(239) 344-2337

NPI assigned

Oct 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1891661252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 CROMEY RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342887908",
            "telephone_number": "561-713-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 KINGS HWY STE 500",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802953",
            "telephone_number": "239-344-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTUS",
        "first_name": "KETIA",
        "middle_name": "EMMANUELA",
        "name_prefix": "Ms.",
        "credential": "CRDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH25970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Salk Brown, RPH
• Vincent Lee Brown, M.D.
• David R Bruah, MD
• Cecelia Bruno-Collins
• Michael D Bruno, PA-C
• Grace Bruzas, BS
• Brydeth Care LLC
• Bubbsh LLC
• Vincent Todd Buckman, M.D.
• Buffalo Wheelchair, Inc.

• Dental Hygienist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.