Active NPI
Damon A Hughes, DDS
- Dentist
- Denham Springs, LA
National Provider Identifier
1700059482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5481
- Practice address
- 1310 S Range Ave
Denham Springs, LA 70726-4810 - Phone
- (225) 664-7771
- NPI assigned
- Apr 2, 2008
- 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 | 5481 | LA | Primary |
Addresses
Primary practice location
1310 S Range Ave
Denham Springs, LA 70726-4810
Mailing address
1310 S Range Ave
Denham Springs, LA 70726-4810
Phone (225) 664-7771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1854816 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160307000372 | LA | Order and Referring Only - Dentist | 9436455110 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5481 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1700059482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 S RANGE AVE",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264810",
"telephone_number": "225-664-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 S RANGE AVE",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264810",
"telephone_number": "225-664-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "DAMON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1854816",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.