NPIMap

Organization Active NPI

Michael S. Pugh DMD, P.C.

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1093369449
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHAEL S. PUGH DMD, P.C.
Practice address
108 Central Ave SE
Huntsville, AL 35801-3814
Phone
(256) 536-3386
Fax
(256) 536-3387
NPI assigned
Jul 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Amy L Echols
Title
Accounts Receivable
Phone
(256) 536-3386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

108 Central Ave SE
Huntsville, AL 35801-3814

Mailing address

108 Central Ave SE
Huntsville, AL 35801-3814
Phone (256) 536-3386

Other identifiers 3

IdentifierTypeStateIssuer
881837OtherALUNITED CONCORDIA
3111543OtherTNBLUE CROSS BLUE SHIELD OF TENNESSEE
51034322OtherALBLUE CROSS BLUE SHIELD

Other names 1

  • Michael S. Pugh DMD, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

108 Central Ave SE
Huntsville, AL 35801
Phone (256) 536-3386

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1093369449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CENTRAL AVE SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013814",
            "telephone_number": "256-536-3386",
            "fax_number": "256-536-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CENTRAL AVE SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013814",
            "telephone_number": "256-536-3386",
            "fax_number": "256-536-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. PUGH DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "256-536-3386"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "881837",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "3111543",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51034322",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael S. Pugh DMD, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.