Individual provider Active NPI

Nancy Elizabeth Hughes, DMD

  • General Practice Dentistry
  • Niceville, FL
National Provider Identifier
1972127751
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24923 Issued in FL
Practice address
4579 E Highway 20 Ste 210
Niceville, FL 32578-9810
Phone
(850) 897-4200
NPI assigned
Jun 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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 24923 FL Primary

Addresses

Primary practice location

4579 E Highway 20 Ste 210
Niceville, FL 32578-9810

Mailing address

397 Edge Ave
Valparaiso, FL 32580
Phone (334) 806-2430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24923FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Bay Dental PLLC General Practice CurrentSince Feb 6, 2022 Accepting new patients
Midbay Dental PPLC CurrentSince Feb 6, 2022 Accepting new patients

Locations

4579 E Highway 20
Ste 210
Niceville, FL 32578
Phone (850) 897-4200

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1972127751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 EDGE AVE",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "32580",
            "telephone_number": "334-806-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 E HIGHWAY 20 STE 210",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789810",
            "telephone_number": "850-897-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.