Sandra Anne Beynnon, BA, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

015.0001383 Issued in VT

Practice address

54 Starbird Rd Unit D
Jericho, VT 05465-2542

Phone

(802) 355-1569

NPI assigned

Aug 6, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972028413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 STARBIRD RD UNIT D",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652542",
            "telephone_number": "802-355-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 STARBIRD RD UNIT D",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652542",
            "telephone_number": "802-355-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYNNON",
        "first_name": "SANDRA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "BA, RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VT",
            "license": "015.0001383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jericho, VT
• Dental Hygienist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.