Organization Active NPI

Schut and Associates 1, PLLC

Doing business as Whiteville Family and Cosmetic Dentistry

  • General Practice Dentistry
  • Whiteville, NC
National Provider Identifier
1083106694
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCHUT AND ASSOCIATES 1, PLLC
Doing business as
Whiteville Family and Cosmetic Dentistry
Practice address
904 Spivey Rd
Whiteville, NC 28472
Phone
(910) 642-7741
NPI assigned
May 31, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Michael G Schut, DMDNPI 1881842656
Title
Owner/Dentist
Phone
(910) 327-2248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

904 Spivey Rd
Whiteville, NC 28472

Mailing address

102 Bretonshire Rd
Wilmington, NC 28405-4002
Phone (910) 859-9883

Other identifiers 2

IdentifierTypeStateIssuer
18881842656OtherNCTYPE 1 NPI
1497162838OtherNCTYPE II NPI

Other names 1

  • Whiteville Family and Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

904 Spivey Rd
Whiteville, NC 28472
Phone (910) 642-6500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1083106694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BRETONSHIRE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054002",
            "telephone_number": "910-859-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SPIVEY RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "28472",
            "telephone_number": "910-642-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUT AND ASSOCIATES 1, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "910-327-2248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "18881842656",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE II NPI",
            "identifier": "1497162838",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whiteville Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.