Douglas B Dugard, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2889 Issued in TN

Practice address

7612 Poplar Pike
Germantown, TN 38138

Phone

(901) 755-7600

Fax

(901) 753-4262

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poplar Pike Dental, PLLC

  • Dentist
  • Germantown, TN
  • NPI 1477141505
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1134298680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-755-7600",
            "fax_number": "901-753-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-755-7600",
            "fax_number": "901-753-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGARD",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "2889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "62-0989806",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny L Doza, PT
• Dr. Richard Alsobrook Vision Center PC
• Erin Dragutsky, RD, LDN
• Michael S Dragutsky, M.D.
• Makensie Rae Dudley, OTR/L
• Vijaya L. Duggirala, M.D.
• Amanda Dulaney, FNP-C
• Betty Jo Dulaney, M.D.
• Nikki Michelle Dunavan, BSN,RN
• Allison Isaacson Dunaway, FNP NP-C

• Dentist in Germantown, TN
• Providers in Germantown, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.

Verify at the official NPI Registry.