Deana R Fugate, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12012647A Issued in IN

Practice address

1213 W Lincoln Ave
Goshen, IN 46526-2130

Phone

(865) 208-5147

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

State licenses

Practice roles

Locations

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.

• Deana Fugate DMD PC

  • Dental Clinic/Center
  • Goshen, IN
  • NPI 1710638358
  NPD Authorized official

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1326027038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W LINCOLN AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262130",
            "telephone_number": "574-533-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W LINCOLN AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262130",
            "telephone_number": "865-208-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13500 HWY 50",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Surf City",
            "state": "NC",
            "postal_code": "28445",
            "country_code": "US",
            "telephone_number": "910-329-0298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "DEANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8338",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012647A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Friesen
• James Nnuro Frimpong, MD
• Shelley Eileen Frost, DPT
• Olivia Darlene Frushour
• Da'Jah Frye
• Elizabeth Garber, M.S.N., F.N.P., NP-C
• Emily Anne Garber, RN, CNP
• Maria Garcia, M.D.
• Selena Champagne Gary, RBT
• Alexis Gates

• Dentist in Goshen, IN
• Providers in Goshen, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.