Active NPI
Matthew Kyle McHugh
- General Practice Dentistry
- Commerce City, CO
National Provider Identifier
1972167013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 00204241
- Practice address
- 15151 E 104TH Ave Ste 103
Commerce City, CO 80022-8948 - Phone
- (303) 287-7000
- NPI assigned
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 00204241 | CO | Primary |
Addresses
Primary practice location
15151 E 104TH Ave Ste 103
Commerce City, CO 80022-8948
Mailing address
3701 W Akeman Bridge Rd
Columbia, MO 65202-7241
Phone (573) 999-1083
Other practice location 1
5640 South St Ste 1
Lincoln, NE 68506-2231
Phone (402) 489-0787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00204241 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reunion Smiles Dentistry and Orthodontics, LLP | General Practice | Current | Accepting new patients |
| Dental Professionals of Nebraska, PC | General Practice | Past | Accepting new patients |
| Susan M Christensen DDS PC | General Practice | Past | Accepting new patients |
Locations
15151 E 104th Ave
Ste 103
Commerce City, CO 80022
Phone (303) 287-7000
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Commerce City, CO
- NPI 1841693090
-
- General Practice Dentistry
- Lincoln, NE
- NPI 1043086366
-
- General Practice Dentistry
- Lincoln, NE
- NPI 1912172164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576886400000",
"number": "1972167013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 W AKEMAN BRIDGE RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652027241",
"telephone_number": "573-999-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15151 E 104TH AVE STE 103",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800228948",
"telephone_number": "303-287-7000"
}
],
"practiceLocations": [
{
"address_1": "5640 South St Ste 1",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685062231",
"country_code": "US",
"telephone_number": "402-489-0787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCHUGH",
"first_name": "MATTHEW",
"middle_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-24",
"last_updated": "2019-12-21",
"certification_date": "2019-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "00204241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.