Active NPI
Michael Thomas Hughes, DDS
- General Practice Dentistry
- Camp Verde, AZ
National Provider Identifier
1154414142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6537
- Practice address
- 522 W Finnie Flat Rd Ste J
Camp Verde, AZ 86322-7265 - Phone
- (928) 567-5249
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6537 | AZ | Primary |
Addresses
Primary practice location
522 W Finnie Flat Rd Ste J
Camp Verde, AZ 86322-7265
Mailing address
60 N Old Pumphouse Rd
Cornville, AZ 86325-5704
Phone (928) 451-2830
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 |
|---|---|---|---|
| 6537 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn M Kinney DMD, PLLC. | Current | Accepting new patients | |
| Verde Dental Care, LLC | General Practice | Past | Accepting new patients |
Locations
522 W Finnie Flat Rd
Ste J
Camp Verde, AZ 86322
Phone (928) 567-5249
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Camp Verde, AZ
- NPI 1356920276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1154414142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 N OLD PUMPHOUSE RD",
"city": "CORNVILLE",
"state": "AZ",
"postal_code": "863255704",
"telephone_number": "928-451-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W FINNIE FLAT RD STE J",
"city": "CAMP VERDE",
"state": "AZ",
"postal_code": "863227265",
"telephone_number": "928-567-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "6537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Verde, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.