NPIMap

Individual provider Active NPI

Mark F Ugai, D.D.S.

  • General Practice Dentistry
  • Durango, CO
National Provider Identifier
1003841586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
H-D-1-05391 Issued in CO
Practice address
835 E 2ND Ave
Suite 270
Durango, CO 81301-5475
Phone
(970) 247-4848
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 H-D-1-05391 CO Primary

Addresses

Primary practice location

835 E 2ND Ave
Suite 270
Durango, CO 81301-5475

Mailing address

835 E 2ND Ave
Suite 270
Durango, CO 81301-5475
Phone (970) 247-4848

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
H-D-1-05391COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor M. Clark, D.D.S., Professional LLC Past Accepting new patients
San Juan Dental Anesthesia Services, Professional LLC Past Accepting new patients

Organizations & group practices 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003841586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 2ND AVE",
            "address_2": "SUITE 270",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015475",
            "telephone_number": "970-247-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E 2ND AVE",
            "address_2": "SUITE 270",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015475",
            "telephone_number": "970-247-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGAI",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "H-D-1-05391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.