Individual provider Active NPI

John Michael Cutter, D.D.S.

  • General Practice Dentistry
  • Fairfield, OH
National Provider Identifier
1033222898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-15322 Issued in OH
Practice address
1251 Nilles Rd
Suite 13
Fairfield, OH 45014-7206
Phone
(512) 829-1100
Fax
(513) 829-6984
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 30-15322 OH Primary

Addresses

Primary practice location

1251 Nilles Rd
Suite 13
Fairfield, OH 45014-7206

Mailing address

P.O. Box 18760
Fairfield, OH 45018-0760
Phone (513) 829-1100

Other identifiers 1

IdentifierTypeStateIssuer
30-15322OtherOHDENTAL LICENSE

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
30-15322OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brian M . Meister, DDS & Associates General Practice Past Accepting new patients
John M. Cutter Family Dentistry, Inc. General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033222898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 18760",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450180760",
            "telephone_number": "513-829-1100",
            "fax_number": "513-829-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NILLES RD",
            "address_2": "SUITE 13",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147206",
            "telephone_number": "512-829-1100",
            "fax_number": "513-829-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-15322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "30-15322",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.