Individual provider Active NPI

Lawrence J Sutton, D.D.S.

  • Dentist
  • Ocala, FL
National Provider Identifier
1063567949
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 14028 Issued in FL
Practice address
2825 SE 17TH St
Ocala, FL 34471-5516
Phone
(352) 620-0094
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 14028 FL Primary

Addresses

Primary practice location

2825 SE 17TH St
Ocala, FL 34471-5516

Mailing address

2825 SE 17TH St
Ocala, FL 34471-5516
Phone (352) 620-0094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329002585 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1355648791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 14028FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence J. Sutton, D.D.S., P.a. CurrentSince Aug 13, 2023 Accepting new patients

Locations

2825 SE 17th St
Ocala, FL 34471
Phone (352) 620-0094

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1063567949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715516",
            "telephone_number": "352-620-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715516",
            "telephone_number": "352-620-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 14028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.