NPIMap

Organization Active NPI

Cape Cod Pediatric Dentistry, Inc.

  • Pediatric Dentistry
  • Hyannis, MA
National Provider Identifier
1609279835
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1855409 Issued in MA
Legal business name
CAPE COD PEDIATRIC DENTISTRY, INC.
Practice address
89 Lewis Bay Rd
Suite 1
Hyannis, MA 02601-5240
Phone
(508) 737-0816
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Amy L Fugate, D.M.D.NPI 1588975965
Title
Pediatric Dentist
Phone
(401) 378-3720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1609279835",
    "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": {
        "organization_name": "CAPE COD PEDIATRIC DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "FUGATE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "401-378-3720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Oct 2, 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.