NPIMap

Organization Active NPI

Amy Pugh DMD PS

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1831454990
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010330 Issued in WA
Legal business name
AMY PUGH DMD PS
Practice address
10115 SE Mill Plain Blvd
Vancouver, WA 98664-4522
Phone
(360) 256-7455
Fax
(360) 892-5533
NPI assigned
Jul 5, 2012
Last updated
Jul 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Amy Pugh, D.M.D.NPI 1598983132
Title
President
Phone
(360) 256-7455

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 Dentistry 1223G0001X DE00010330 WA Primary

Addresses

Primary practice location

10115 SE Mill Plain Blvd
Vancouver, WA 98664-4522

Mailing address

10115 SE Mill Plain Blvd
Vancouver, WA 98664-4522
Phone (360) 256-7455

National Provider Directory

National Provider Directory

Locations

10115 SE Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 256-7455

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": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1831454990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644522",
            "telephone_number": "360-256-7455",
            "fax_number": "360-892-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644522",
            "telephone_number": "360-256-7455",
            "fax_number": "360-892-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY PUGH DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-256-7455",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.