Stephen V Sutton, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3979 Issued in ID

Practice address

15 West 1St North
Downey, ID 83234

Phone

(208) 897-5000

Fax

(208) 897-5055

NPI assigned

Jul 6, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

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.

• Stephen V Sutton DMD, PA

  • General Practice Dentistry
  • Downey, ID
  • NPI 1902170368
  NPD (past) Authorized official
• D. Porter Sutton, DMD, PLLC

  • General Practice Dentistry
  • Downey, ID
  • NPI 1013107309
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104857044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PURDUE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013422",
            "telephone_number": "208-478-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WEST 1ST NORTH",
            "city": "DOWNEY",
            "state": "ID",
            "postal_code": "83234",
            "telephone_number": "208-897-5000",
            "fax_number": "208-897-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "STEPHEN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Howe
• Robert Newman Perkins, DMD
• Dean Ty Smith, D.O.
• Stephen V Sutton DMD, PA
• David Porter Sutton, DMD
• Whispering Pines Assisted Living LLC

• General Practice Dentistry in Downey, ID
• Providers in Downey, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.