Hugh Matthew Eltgroth, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27273 Issued in CA

Practice address

211 Laurel LN
Chester, CA 96020

Phone

(530) 258-2201

Fax

(530) 258-3134

NPI assigned

Jan 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hugh M. Eltgroth DDS Apc

  • Dentist
  • Chester, CA
  • NPI 1215142658
  NPD (past) Authorized official
• Chester Smile Family Dentistry Inc

  • Dentist
  • Chester, CA
  • NPI 1366994147
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821143496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "CHESTER",
            "state": "CA",
            "postal_code": "960201220",
            "telephone_number": "530-258-2201",
            "fax_number": "530-258-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LAUREL LN",
            "city": "CHESTER",
            "state": "CA",
            "postal_code": "96020",
            "telephone_number": "530-258-2201",
            "fax_number": "530-258-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTGROTH",
        "first_name": "HUGH",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27273",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6396566-9921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven G Brown, MS PT
• Chester Fire Protection District
• Chester Public Utility District
• Chester Smile Family Dentistry Inc
• County of Plumas (Chester Wellness and Family Resource Center)
• Fredrick Feil, OD
• Rebecca Kaye Garrett, PEER SUPPORT
• Harry D Leseur (Lassen Drug Co.)
• Stephen J. Hayden, APN
• Hugh M. Eltgroth DDS Apc

• General Practice Dentistry in Chester, CA
• Providers in Chester, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.