Individual provider Active NPI

William Rust Hughes, D.D.S.

  • General Practice Dentistry
  • Monroe, LA
National Provider Identifier
1922050731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3159 Issued in LA
Practice address
1205 N 18TH St
Suite 113
Monroe, LA 71201-5461
Phone
(318) 323-3442
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 3159 LA Primary

Addresses

Primary practice location

1205 N 18TH St
Suite 113
Monroe, LA 71201-5461

Mailing address

1205 N 18TH St
Suite 113
Monroe, LA 71201-5461
Phone (318) 323-3442

Other identifiers 1

IdentifierTypeStateIssuer
3159OtherLASTATE OF LA

Other names 1

  • Dr. W. Rusty Hughes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160104001151 LA Order and Referring Only - DentistPractitioner - Dentist 0941502231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3159LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922050731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N 18TH ST",
            "address_2": "SUITE 113",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015461",
            "telephone_number": "318-323-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N 18TH ST",
            "address_2": "SUITE 113",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015461",
            "telephone_number": "318-323-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "WILLIAM",
        "middle_name": "RUST",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF LA",
            "identifier": "3159",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W.",
            "last_name": "HUGHES",
            "middle_name": "RUSTY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.