Merrill M. Hugentobler, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

275141 Issued in UT

Practice address

757 N Main St
Moab, UT 84532-2132

Phone

(435) 259-7418

Fax

(435) 259-4036

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

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.

• Merrill M Hugentobler DDS PC

  • General Practice Dentistry
  • Moab, UT
  • NPI 1104271253
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1548304496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 N MAIN ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322132",
            "telephone_number": "435-259-7418",
            "fax_number": "435-259-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 N MAIN ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322132",
            "telephone_number": "435-259-7418",
            "fax_number": "435-259-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGENTOBLER",
        "first_name": "MERRILL",
        "middle_name": "M.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "275141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Hollis, PTA
• Elizabeth Lazier Holtby, PA-C
• Travis Holtby
• Beth Anne Hood, ACMHC-EXTERN
• Jonathan Howell, RN
• Jessica Hull, RN
• Belinda Lou Hurst, CMHC
• Zoe Huston
• Ihc Health Services Inc (IMED Utah Heart Moab)
• Cynthia J Indergard, PT

• General Practice Dentistry in Moab, UT
• Providers in Moab, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.