Active NPI
Orlando Joseph Fugaro, DDS,MSD
- General Practice Dentistry
- Bainbridge Island, WA
National Provider Identifier
1730100934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10104
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10104 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Bainbridge Island, WA
- NPI 1689020018
-
- General Practice Dentistry
- Bainbridge Island, WA
- NPI 1629912670
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.