NPIMap

Organization Active NPI

B. Charles Pugh D.D.S., P.C.

  • Exclusive Provider Organization
  • Riverton, UT
National Provider Identifier
1861887838
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
140202-9922 Issued in UT
Legal business name
B. CHARLES PUGH D.D.S., P.C.
Practice address
12694 S Redwood Rd
Riverton, UT 84065-6605
Phone
(801) 254-1278
Fax
(801) 254-5778
NPI assigned
Apr 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Ms. Melinda Diamond
Title
Office Manager
Phone
(801) 254-1278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 140202-9922 UT Primary

Addresses

Primary practice location

12694 S Redwood Rd
Riverton, UT 84065-6605

Mailing address

12694 S Redwood Rd
Riverton, UT 84065-6605
Phone (801) 254-1278

National Provider Directory

National Provider Directory

Locations

12694 S Redwood Rd
Riverton, UT 84065
Phone (801) 254-1278

Practitioners & affiliated clinicians

Practitioners 1

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": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1861887838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12694 S REDWOOD RD",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840656605",
            "telephone_number": "801-254-1278",
            "fax_number": "801-254-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12694 S REDWOOD RD",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840656605",
            "telephone_number": "801-254-1278",
            "fax_number": "801-254-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. CHARLES PUGH D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-254-1278",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "UT",
            "license": "140202-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.