Individual provider Active NPI

Patrick Mugabe, DDS

  • Endodontics
  • Denver, CO
National Provider Identifier
1124711031
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DEN.00206180 Issued in CO
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

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30027191 OH
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000956 OH Order and Referring Only - DentistPractitioner - Dentist 7113385337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30027191OHMDEndodontist

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

Verify at the official NPI Registry.