Organization Active NPI

Amy Pugh DMD LLC

  • Dental Clinic/Center
  • Crooked River Ranch, OR
National Provider Identifier
1053231027
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMY PUGH DMD LLC
Practice address
5021 SW Clubhouse Rd
Crooked River Ranch, OR 97760-8021
Phone
(541) 241-4621
NPI assigned
Jul 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Amy Pugh, DMDNPI 1598983132
Title
Member
Phone
(503) 810-1173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5021 SW Clubhouse Rd
Crooked River Ranch, OR 97760-8021

Mailing address

5021 SW Clubhouse Rd
Crooked River Ranch, OR 97760-8021

National Provider Directory

National Provider Directory

Locations

5021 SW Clubhouse Rd
Crooked River Ranch, OR 97760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1053231027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 SW CLUBHOUSE RD",
            "city": "CROOKED RIVER RANCH",
            "state": "OR",
            "postal_code": "977608021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 SW CLUBHOUSE RD",
            "city": "CROOKED RIVER RANCH",
            "state": "OR",
            "postal_code": "977608021",
            "telephone_number": "541-241-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY PUGH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-810-1173",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crooked River Ranch, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.