Brooke McKenna Hamilton, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2017026671 Issued in MO

Practice address

107 W Broadway St
El Dorado Springs, MO 64744-1133

Phone

(888) 403-1071

NPI assigned

Jul 28, 2017

Last updated

Mar 6, 2020By the provider in NPPES

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

Other names 1

• Brooke McKenna Beaty Former name

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1922522317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-890-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W BROADWAY ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647441133",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "BROOKE",
        "middle_name": "MCKENNA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2017026671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BEATY",
            "middle_name": "MCKENNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathy L Frier, O.D.
• Michael C Frier, O.D.
• Alfreda Gonzalez
• Sarah E Green, LPC
• Mildred M Hall, PLPC
• Farah Sikander Hassan, M.B.B.S., MD
• Healing Springs Counseling & Wellness LLC
• Barbara Joyce Heuser, PA-C
• Cammie Lynette Housh, DDS
• Michael Lee Housh, DDS

• Dental Hygienist in El Dorado Springs, MO
• Providers in El Dorado Springs, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.