Thomas Randall Szutz, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

60475 Issued in CA

Practice address

401 Kenilworth Dr
Suite 960
Petaluma, CA 94952-3400

Phone

(707) 789-9600

Fax

(707) 789-9549

NPI assigned

Jul 5, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nosti and Gill Dental Corporatiom

  • General Practice Dentistry
  • Petaluma, CA
  • NPI 1205262664
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1043507627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KENILWORTH DR",
            "address_2": "SUITE 960",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523400",
            "telephone_number": "707-789-9600",
            "fax_number": "707-789-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KENILWORTH DR",
            "address_2": "SUITE 960",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523400",
            "telephone_number": "707-789-9600",
            "fax_number": "707-789-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUTZ",
        "first_name": "THOMAS",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Lee Sweet, D.C.
• Mary Louise Swift, LCSW LISW
• Julie A Sylvia, BEHAVIOR TECHNICIAN
• Systik Medical, Inc.
• Laura Szanyi
• Yvonne A Szyperski, DDS
• Taatjes Chiropractic Inc.
• Joel A Taatjes, D.C.
• Lucie Taba, PT, DPT
• Estella Tafoya

• Dentist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.