Individual provider Active NPI

Orlando Joseph Fugaro, DDS,MSD

  • General Practice Dentistry
  • Bainbridge Island, WA
National Provider Identifier
1730100934
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10104 Issued in WA
Practice address
710 Ericksen Ave NE
Suite 200
Bainbridge Island, WA 98110-2835
Phone
(206) 842-2646
Fax
(206) 842-6475
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 10104 WA Primary

Addresses

Primary practice location

710 Ericksen Ave NE
Suite 200
Bainbridge Island, WA 98110-2835

Mailing address

PO Box 10417
Bainbridge Island, WA 98110-0417
Phone (206) 842-2646

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
10104WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Frye & Davies PLLC General Practice Past Accepting new patients
Orlando J Fugaro DDS MSD PS Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730100934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10417",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981100417",
            "telephone_number": "206-842-2646",
            "fax_number": "206-842-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ERICKSEN AVE NE",
            "address_2": "SUITE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102835",
            "telephone_number": "206-842-2646",
            "fax_number": "206-842-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGARO",
        "first_name": "ORLANDO",
        "middle_name": "JOSEPH",
        "credential": "DDS,MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.