Active NPI
William Fugere, DMD
- Dentist
- Poulsbo, WA
National Provider Identifier
1144564360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE-60625016
- Practice address
- 19500 10TH Ave NE Ste 210
Poulsbo, WA 98370-6553 - Phone
- (360) 394-4337
- NPI assigned
- Nov 15, 2012
- Last updated
- Nov 2, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE-60625016 | WA | Primary |
Addresses
Primary practice location
19500 10TH Ave NE Ste 210
Poulsbo, WA 98370-6553
Mailing address
2320 Dalarna CT NE
Poulsbo, WA 98370-7590
Phone (801) 885-8997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE-60625016 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fugere Dental PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1144564360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 DALARNA CT NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707590",
"telephone_number": "801-885-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19500 10TH AVE NE STE 210",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706553",
"telephone_number": "360-394-4337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGERE",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE-60625016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.