Active NPI
Patrick Michael Nutini, DMD
- General Practice Dentistry
- Edgewood, KY
National Provider Identifier
1124249438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4891
- Practice address
- 3005 Dixie Hwy
Edgewood, KY 41017 - Phone
- (859) 331-7353
- Fax
- (859) 331-8416
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4891 | KY | Primary |
Addresses
Primary practice location
3005 Dixie Hwy
Edgewood, KY 41017
Mailing address
3005 Dixie Hwy
Edgewood, KY 41017
Phone (859) 331-7353
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4891 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124249438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 DIXIE HWY",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-331-7353",
"fax_number": "859-331-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 DIXIE HWY",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-331-7353",
"fax_number": "859-331-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTINI",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "4891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, KY
- Thomas E Nogueira, M.D.
- Steven Peter Noll, DO
- James Andrew Northcutt, LCSW
- Northern Kentucky Independent District Health Dept
- Northern Ky Oral & Maxillofacial Surgery Associates (No Ky Oral & Maxillofacial Surgery)
- Emily Marie O'Brien
- Kelly O'Brien, PA-C
- Michael Dennis O'Brien, MD
- Christine M O'Neal, CRNA
- Allana Oak, DO
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.