Individual provider Active NPI

Jacqueline Hughes, DDS

  • Dentist
  • Chambersburg, PA
National Provider Identifier
1134112287
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS029583L Issued in PA
Practice address
767 5TH Ave
Suite B-3a
Chambersburg, PA 17201-4207
Phone
(717) 263-4462
Fax
(717) 263-8014
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS029583L PA Primary

Addresses

Primary practice location

767 5TH Ave
Suite B-3a
Chambersburg, PA 17201-4207

Mailing address

767 5TH Ave
Suite B-3a
Chambersburg, PA 17201-4207
Phone (717) 263-4462

Other identifiers 1

IdentifierTypeStateIssuer
001634104MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150513002128 PA Order and Referring Only - DentistPractitioner - Dentist 8426378571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS029583LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1134112287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 5TH AVE",
            "address_2": "SUITE B-3A",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014207",
            "telephone_number": "717-263-4462",
            "fax_number": "717-263-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 5TH AVE",
            "address_2": "SUITE B-3A",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014207",
            "telephone_number": "717-263-4462",
            "fax_number": "717-263-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JACQUELINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029583L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001634104",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.