Individual provider Active NPI

William Mark Hughen, D.D.S.

  • General Practice Dentistry
  • Midland, TX
National Provider Identifier
1164557872
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13759 Issued in TX
Practice address
4519 N Garfield St # 16a
Midland, TX 79705-3415
Phone
(432) 570-7080
Fax
(432) 570-7088
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13759 TX Primary

Addresses

Primary practice location

4519 N Garfield St # 16a
Midland, TX 79705-3415

Mailing address

4519 N Garfield St # 16a
Midland, TX 79705-3415
Phone (432) 570-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160205000185 TX Order and Referring Only - DentistPractitioner - Dentist 2961706379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13759TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164557872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 N GARFIELD ST # 16A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053415",
            "telephone_number": "432-570-7080",
            "fax_number": "432-570-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 N GARFIELD ST # 16A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053415",
            "telephone_number": "432-570-7080",
            "fax_number": "432-570-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHEN",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.