NPIMap

Organization Active NPI

Merrill M Hugentobler DDS PC

  • General Practice Dentistry
  • Moab, UT
National Provider Identifier
1104271253
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
275141 Issued in UT
Legal business name
MERRILL M HUGENTOBLER DDS PC
Practice address
757 N Main St
Moab, UT 84532-2132
Phone
(435) 259-7418
NPI assigned
Apr 26, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Merrill HugentoblerNPI 1548304496
Title
Owner
Phone
(435) 259-7418

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
General Practice Dentistry 1223G0001X 275141 UT Primary

Addresses

Primary practice location

757 N Main St
Moab, UT 84532-2132

Mailing address

757 N Main St
Moab, UT 84532-2132
Phone (435) 259-7418

National Provider Directory

National Provider Directory

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": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1104271253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 N MAIN ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322132",
            "telephone_number": "435-259-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 N MAIN ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322132",
            "telephone_number": "435-259-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL M HUGENTOBLER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "HUGENTOBLER",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-259-7418"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "275141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.