Individual provider Active NPI

Michael Hughes Tufton, DDS

  • General Practice Dentistry
  • Gretna, LA
National Provider Identifier
1568800753
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6369 Issued in LA
Practice address
654 Terry Pkwy
Gretna, LA 70056-4306
Phone
(504) 362-5270
Fax
(503) 362-2433
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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 6369 LA Primary

Addresses

Primary practice location

654 Terry Pkwy
Gretna, LA 70056-4306

Mailing address

654 Terry Pkwy
Gretna, LA 70056-4306
Phone (504) 362-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160309002610 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2365748886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6369LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Hughes Tufton DDS Professional LLC General Practice CurrentSince Aug 14, 2022 Accepting new patients
Peter M. Tufton, DDS a Professional Dental Corporation General Practice Past Accepting new patients

Locations

1705 Lapalco Blvd
Ste 2
Harvey, LA 70058
Phone (504) 361-3697

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1568800753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 TERRY PKWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564306",
            "telephone_number": "504-362-5270",
            "fax_number": "503-362-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 TERRY PKWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564306",
            "telephone_number": "504-362-5270",
            "fax_number": "503-362-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFTON",
        "first_name": "MICHAEL",
        "middle_name": "HUGHES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.