Active NPI
Stanley Buck Hutchison, D.D.S.
- Dentist
- Cameron, TX
National Provider Identifier
1013148105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29172
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160817001658 | TX | Order and Referring Only - Other (Physician) | 2567757420 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29172 | TX | MD | Dentist |
| D12678 | MN | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.