Organization Active NPI

Melanie Pugh DMD, P.a. - GP

  • General Practice Dentistry
  • Bonita Springs, FL
National Provider Identifier
1821449976
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MELANIE PUGH DMD, P.A. - GP
Practice address
8800 Bernwood Pkwy
Ste 4
Bonita Springs, FL 34135-9527
Phone
(239) 949-1805
Fax
(239) 949-1821
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Jody Pugh
Title
Manager
Phone
(239) 949-1805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8800 Bernwood Pkwy
Ste 4
Bonita Springs, FL 34135-9527

Mailing address

8800 Bernwood Pkwy
Ste 4
Bonita Springs, FL 34135-9527
Phone (239) 949-1805

National Provider Directory

National Provider Directory

Locations

8800 Bernwood Pkwy
Ste 4
Bonita Springs, FL 34135
Phone (239) 949-1805

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1821449976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 BERNWOOD PKWY",
            "address_2": "STE 4",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359527",
            "telephone_number": "239-949-1805",
            "fax_number": "239-949-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 BERNWOOD PKWY",
            "address_2": "STE 4",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359527",
            "telephone_number": "239-949-1805",
            "fax_number": "239-949-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE PUGH DMD, P.A. - GP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-949-1805"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.