Individual provider Active NPI

Amy Lee Fugate, D.M.D., CAGS

  • Pediatric Dentistry
  • Hyannis, MA
National Provider Identifier
1588975965
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1855409 Issued in MA
Practice address
89 Lewis Bay Rd
Suite 1
Hyannis, MA 02601-5240
Phone
(508) 737-0816
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DEN03153 RI
Pediatric Dentistry 1223P0221X DN1855409 MA Primary

Addresses

Primary practice location

89 Lewis Bay Rd
Suite 1
Hyannis, MA 02601-5240

Mailing address

89 Lewis Bay Rd
Suite 1
Hyannis, MA 02601-5240
Phone (508) 737-0816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1855409MAMDPediatric Dentist
DEN03153RIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Pediatric Dentistry, Inc. Pediatric Dentistry 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1588975965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LEWIS BAY RD",
            "address_2": "SUITE 1",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015240",
            "telephone_number": "508-737-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LEWIS BAY RD",
            "address_2": "SUITE 1",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015240",
            "telephone_number": "508-737-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "AMY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D., CAGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "DEN03153",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.