Individual provider Active NPI

Mary Christina Higgins- Duplechain, D.D.S.

  • General Practice Dentistry
  • Miramar Beach, FL
National Provider Identifier
1962414482
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17204 Issued in FL
Practice address
77 South Shore Dr
Miramar Beach, FL 32550-4139
Phone
(850) 650-2070
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17204 FL Primary

Addresses

Primary practice location

77 South Shore Dr
Miramar Beach, FL 32550-4139

Mailing address

77 South Shore Dr
Miramar Beach, FL 32550-4139
Phone (850) 650-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921002899 FL Order and Referring Only - DentistPractitioner - Dentist 0547577744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jason E Baker DDS LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1962414482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SOUTH SHORE DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504139",
            "telephone_number": "850-650-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SOUTH SHORE DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504139",
            "telephone_number": "850-650-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS- DUPLECHAIN",
        "first_name": "MARY",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.