Individual provider Active NPI

Mackenzie Darlene Brinsfield, RDH

  • Dental Hygienist
  • Federalsburg, MD
National Provider Identifier
1982231635
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
8007 Issued in MD
Practice address
215 Bloomingdale Ave
Federalsburg, MD 21632-1012
Phone
(410) 754-7583
Fax
(833) 916-1013
NPI assigned
Mar 24, 2020
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 8007 MD Primary

Addresses

Primary practice location

215 Bloomingdale Ave
Federalsburg, MD 21632-1012

Mailing address

215 Bloomingdale Ave
Federalsburg, MD 21632-1012
Phone (410) 754-7583

Other names 1

  • Mackenzie Darlene Collier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8007MDMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1982231635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BLOOMINGDALE AVE",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216321012",
            "telephone_number": "410-754-7583",
            "fax_number": "833-916-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BLOOMINGDALE AVE",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216321012",
            "telephone_number": "410-754-7583",
            "fax_number": "833-916-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSFIELD",
        "first_name": "MACKENZIE",
        "middle_name": "DARLENE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "8007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "COLLIER",
            "middle_name": "DARLENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Federalsburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.