Brian K. Hutto, DMD, Inc.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

BRIAN K. HUTTO, DMD, INC.

Practice address

2301 St Pauls Way
Modesto, CA 95355-3309

Phone

(209) 522-5238

Fax

(209) 522-4703

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brian K Hutto, DMDNPI 1568654986

Title

President

Phone

(209) 522-5238

Specialties & licenses 1

Addresses

Other names 1

• Modesto Oral Surgery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Kelly Hutto, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Modesto, CA
  • NPI 1568654986
  NPD Authorized official

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707004800000",
    "number": "1053974196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 COFFEE RD STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554229",
            "telephone_number": "209-522-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ST PAULS WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553309",
            "telephone_number": "209-522-5238",
            "fax_number": "209-522-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K. HUTTO, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A",
        "authorized_official_last_name": "HUTTO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-522-5238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modesto Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modesto Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Lloyd Brewer, CADC II, ICADC
• Reanna Diane Brewer
• Zachary Edgar Brewer, MD
• Brian Herline Chiropractic Inc
• Brian J Cormier Physician Assistant Inc
• Vanessa Bricker
• Bridges Family Therapy Inc
• David Bridges, M.D.
• Jake M Brierley, MD
• Hollie Briganti

• Oral and Maxillofacial Surgery Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; 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.