Active NPI
Donald W Sutton, DMD
- Endodontics
- Gadsden, AL
National Provider Identifier
1164547659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3067
- Practice address
- 813 Riverbend Drive
Gadsden, AL 35901-2556 - Phone
- (256) 547-1543
- Fax
- (256) 547-1541
- NPI assigned
- Mar 21, 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3067 | AL | Primary |
Addresses
Primary practice location
813 Riverbend Drive
Gadsden, AL 35901-2556
Mailing address
813 Riverbend Drive
Gadsden, AL 35901-2556
Phone (256) 547-1543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617002802 | AL | Order and Referring Only - Oral Surgery | 7012228042 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3067 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164547659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 RIVERBEND DRIVE",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359012556",
"telephone_number": "256-547-1543",
"fax_number": "256-547-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 RIVERBEND DRIVE",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359012556",
"telephone_number": "256-547-1543",
"fax_number": "256-547-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "DONALD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AL",
"license": "3067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.