Individual provider Active NPI

Steven Geoffrey Gutterson, D.M.D.

  • General Practice Dentistry
  • Huntington, NY
National Provider Identifier
1063540318
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043858 Issued in NY
Practice address
14 W Neck Rd
Huntington, NY 11743-2619
Phone
(516) 938-0015
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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 043858 NY Primary

Addresses

Primary practice location

14 W Neck Rd
Huntington, NY 11743-2619

Mailing address

14 W Neck Rd
Huntington, NY 11743-2619
Phone (516) 938-0015

Other practice location 1

335 Terry Rd
Smithtown, NY 11787-5510
Phone (631) 724-0104

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
043858NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1063540318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W NECK RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432619",
            "telephone_number": "516-938-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W NECK RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432619",
            "telephone_number": "516-938-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Terry Rd",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117875510",
            "country_code": "US",
            "telephone_number": "631-724-0104",
            "fax_number": "631-724-2861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTTERSON",
        "first_name": "STEVEN",
        "middle_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.