Individual provider Active NPI

Joseph G Hughey, DDS

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1548356116
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15146 Issued in MO
Practice address
1 Cardinal Way Apt 2810
Saint Louis, MO 63102-2819
Phone
(636) 751-4125
NPI assigned
Oct 4, 2006
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 15146 MO Primary

Addresses

Primary practice location

1 Cardinal Way Apt 2810
Saint Louis, MO 63102-2819

Mailing address

1 Cardinal Way Apt 2810
Saint Louis, MO 63102-2819
Phone (636) 751-4125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210614001026 MO Order and Referring Only - DentistPractitioner - Dentist 1759781768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15146MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1548356116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARDINAL WAY APT 2810",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022819",
            "telephone_number": "636-751-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARDINAL WAY APT 2810",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022819",
            "telephone_number": "636-751-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHEY",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "15146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.