Active NPI
Christopher H Hughes, DMD
- Dentist
- Herrin, IL
National Provider Identifier
1568536795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19021787
- Practice address
- 504 Rushing Dr
Herrin, IL 62948-3748 - Phone
- (618) 993-3100
- Fax
- (618) 993-3266
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 19021787 | IL | Primary |
Addresses
Primary practice location
504 Rushing Dr
Herrin, IL 62948-3748
Mailing address
504 Rushing Dr
Herrin, IL 62948-3748
Phone (618) 993-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150601001346 | IL | Order and Referring Only - Other (Non-Physician) | 8729309992 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19021787 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568536795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 RUSHING DR",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483748",
"telephone_number": "618-993-3100",
"fax_number": "618-993-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 RUSHING DR",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483748",
"telephone_number": "618-993-3100",
"fax_number": "618-993-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "CHRISTOPHER",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19021787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herrin, IL
- Alejandro Hornik
- Katherine Abigail Hosick, RBT
- Emily A Howell, M.S,, CCC-SLP
- Brenna Layne Howerton, LSW
- HR Physical Therapy , Sports & Industrial Rehabilitation PC
- Meshia K Hughes, PA-C
- Sadie Allison Hunsaker, M.S., CCC-SLP
- Pamela Blankenship Hunter, PHYSICAL THERAPIST
- Ryan Ijames
- Independence Place, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.