Steven Richard Clute, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1201063A Issued in IN

Practice address

7524 S Anthony Blvd
Fort Wayne, IN 46816-2517

Phone

(260) 441-8500

NPI assigned

May 9, 2006

Last updated

Dec 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

• Clute Youth Dentistry, Inc.

  dba SmileWorks Youth Dentistry

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1679988588
  NPD (past) Authorized official
• Wayne Youth Dentistry, LLC

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1356399182
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1063461796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 S ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468162517",
            "telephone_number": "260-441-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUTE",
        "first_name": "STEVEN",
        "middle_name": "RICHARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "1201063A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2618206",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200800010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taneka Clopton, RBT
• Jonathon Closson
• Patricia Clouse, PT
• Stephanie Ann Clouse, NP-C
• Clute Youth Dentistry, Inc. (SmileWorks Youth Dentistry)
• CM Heart2Soul, LLC
• CML Healthcare Consultants LLC
• Charles L Coats, MD
• Glenn Stephen Coats, M.D.
• Isabella Buenconsejo Coats, MD

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.