Joseph David Hutchison, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11845 Issued in MO

Practice address

22 S West St
Perryville, MO 63775-2547

Phone

(573) 547-6691

Fax

(573) 547-6691

NPI assigned

Aug 4, 2008

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

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

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1154587673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S WEST ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752547",
            "telephone_number": "573-547-6691",
            "fax_number": "573-547-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S WEST ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752547",
            "telephone_number": "573-547-6691",
            "fax_number": "573-547-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "838501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MO",
            "identifier": "15444",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400315206",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Allen Hohenadel, D.M.D.
• Brooke Elizabeth Hotop, FNP-C
• Maegyn Huber
• Natalie Huber, DPT
• Jonathan Hudak, LPC, NCC, MA
• Immediate Convenient Care-Perryville, LLC
• Immediate Healthcare, Inc.
• Independence Health System, Inc.
• Katie Marie Isgriggs, BS, HIS
• J.U.S.T. Orthotics

• All providers in Perryville, MO
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.