Active NPI
David A Mugford, DMD PA
- Periodontics
- Crofton, MD
National Provider Identifier
1588796353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 11651
- Practice address
- 1660 Village GRN
Crofton, MD 21114-2033 - Phone
- (410) 721-7801
- Fax
- (410) 721-7802
- NPI assigned
- Mar 9, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 11651 | MD | Primary |
Addresses
Primary practice location
1660 Village GRN
Crofton, MD 21114-2033
Mailing address
1660 Village GRN
Suite 104
Crofton, MD 21114-2033
Phone (410) 721-7801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-8586462 | Other | MD | FEDERAL ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 22, 2016 through Mar 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11651 | MD | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David a Mugford DMD PA | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1588796353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 VILLAGE GRN",
"address_2": "SUITE 104",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142033",
"telephone_number": "410-721-7801",
"fax_number": "410-721-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 VILLAGE GRN",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142033",
"telephone_number": "410-721-7801",
"fax_number": "410-721-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUGFORD",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "11651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID",
"identifier": "20-8586462",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.