Organization Active NPI

Mark B Hughes DDS PC

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1760517221
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4198 Issued in AZ
Legal business name
MARK B HUGHES DDS PC
Practice address
6591 W Thunderbird Rd Ste C1
Glendale, AZ 85306-3719
Phone
(623) 776-1113
NPI assigned
Feb 23, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mark B Hughes, DDSNPI 1407910474
Title
President
Phone
(623) 776-1113

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4198 AZ Primary

Addresses

Primary practice location

6591 W Thunderbird Rd Ste C1
Glendale, AZ 85306-3719

Mailing address

6591 W Thunderbird Rd Ste C1
Glendale, AZ 85306-3719
Phone (623) 776-1113

Other identifiers 1

IdentifierTypeStateIssuer
1407910474OtherAZTYPR I NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1760517221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 W THUNDERBIRD RD STE C1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063719",
            "telephone_number": "623-776-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6591 W THUNDERBIRD RD STE C1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063719",
            "telephone_number": "623-776-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B HUGHES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-776-1113",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPR I NPI",
            "identifier": "1407910474",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.