Active NPI
Patrick Mugabe, DDS
- Endodontics
- Denver, CO
National Provider Identifier
1124711031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DEN.00206180
- Practice address
- 8354 E Northfield Blvd Unit 2750
Denver, CO 80238-3135 - Phone
- (720) 895-1717
- NPI assigned
- May 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30027191 | OH | |
| Endodontics | 1223E0200X | DEN.00206180 | CO | Primary |
| Endodontics | 1223E0200X | 30027191 | OH |
Addresses
Primary practice location
8354 E Northfield Blvd Unit 2750
Denver, CO 80238-3135
Mailing address
8354 E Northfield Blvd Unit 2750
Denver, CO 80238-3135
Phone (720) 895-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230621000956 | OH | Order and Referring Only - Dentist | 7113385337 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30027191 | OH | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1124711031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8354 E NORTHFIELD BLVD UNIT 2750",
"city": "DENVER",
"state": "CO",
"postal_code": "802383135",
"telephone_number": "720-895-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8354 E NORTHFIELD BLVD UNIT 2750",
"city": "DENVER",
"state": "CO",
"postal_code": "802383135",
"telephone_number": "720-895-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUGABE",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-29",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30027191",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "DEN.00206180",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30027191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.