Active NPI
Denise R Prugh, DDS
- Pediatric Dentistry
- Casper, WY
National Provider Identifier
1003921735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 964
- Practice address
- 295 N Walsh Dr
Casper, WY 82609-1911 - Phone
- (307) 265-7878
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 964 | WY | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 964 | WY |
Addresses
Primary practice location
295 N Walsh Dr
Casper, WY 82609-1911
Mailing address
295 N Walsh Dr
Casper, WY 82609-1911
Phone (307) 265-7878
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denise R Prugh DDS | Pediatric Dentistry | 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": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1003921735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 N WALSH DR",
"city": "CASPER",
"state": "WY",
"postal_code": "826091911",
"telephone_number": "307-265-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 N WALSH DR",
"city": "CASPER",
"state": "WY",
"postal_code": "826091911",
"telephone_number": "307-265-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUGH",
"first_name": "DENISE",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WY",
"license": "964",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WY",
"license": "964",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.