Individual provider Active NPI

Stanley Buck Hutchison, D.D.S.

  • Dentist
  • Cameron, TX
National Provider Identifier
1013148105
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29172 Issued in TX
Practice address
116 E. 1St St.
Cameron, TX 76520
Phone
(254) 697-3118
Fax
(254) 605-0664
NPI assigned
Aug 6, 2009
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29172 TX Primary
General Practice Dentistry 1223G0001X D12678 MN

Addresses

Primary practice location

116 E. 1St St.
Cameron, TX 76520

Mailing address

116 E. 1St St.
Cameron, TX 76520
Phone (254) 697-3118

Other practice location 1

3630 SW 45th Ave
Amarillo, TX 79109-5689
Phone (806) 661-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160817001658 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2567757420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29172TXMDDentist
D12678MNMDGeneral Practice Dentistry

Networks

  • TX HMO D-SNP
  • NM HMO C-SNP

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1013148105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E. 1ST ST.",
            "city": "CAMERON",
            "state": "TX",
            "postal_code": "76520",
            "telephone_number": "254-697-3118",
            "fax_number": "254-605-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E. 1ST ST.",
            "city": "CAMERON",
            "state": "TX",
            "postal_code": "76520",
            "telephone_number": "254-697-3118",
            "fax_number": "254-605-0664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 SW 45th Ave",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791095689",
            "country_code": "US",
            "telephone_number": "806-661-8006",
            "fax_number": "806-331-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "STANLEY",
        "middle_name": "BUCK",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29172",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, TX

Sources for this page

Verify at the official NPI Registry.