Individual provider Active NPI

Amy Elise Hughes, D.D.S.

  • Dentist
  • Minnetonka, MN
National Provider Identifier
1821023177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11282 Issued in MN
Practice address
5509 Eden Prairie Rd
Minnetonka, MN 55345-5839
Phone
(952) 938-6038
Fax
(952) 935-9175
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11282 MN Primary

Addresses

Primary practice location

5509 Eden Prairie Rd
Minnetonka, MN 55345-5839

Mailing address

5509 Eden Prairie Rd
Minnetonka, MN 55345-5839
Phone (952) 938-6038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150213000874 MN Order and Referring Only - DentistPractitioner - Dentist 9638494677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11282MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Lake Family Dentistry P.L.L.C. Past Accepting new patients
Amy Hughes DDS PA PastSince Jan 16, 2018 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821023177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 EDEN PRAIRIE RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455839",
            "telephone_number": "952-938-6038",
            "fax_number": "952-935-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 EDEN PRAIRIE RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455839",
            "telephone_number": "952-938-6038",
            "fax_number": "952-935-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "AMY",
        "middle_name": "ELISE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.