Individual provider Active NPI

Carol Toutant, D.D.S.

  • General Practice Dentistry
  • Shaker Heights, OH
National Provider Identifier
1164560629
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30. 016957 Issued in OH
Practice address
20620 N Park Blvd
218
Shaker Heights, OH 44118-4519
Phone
(216) 932-4330
NPI assigned
Feb 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30. 016957 OH Primary

Addresses

Primary practice location

20620 N Park Blvd
218
Shaker Heights, OH 44118-4519

Mailing address

20620 N Park Blvd
218
Shaker Heights, OH 44118-4519
Phone (216) 932-4330

Other identifiers 1

IdentifierTypeStateIssuer
0819118MedicaidOH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30. 016957OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164560629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20620 N PARK BLVD",
            "address_2": "218",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441184519",
            "telephone_number": "216-932-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20620 N PARK BLVD",
            "address_2": "218",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441184519",
            "telephone_number": "216-932-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUTANT",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30. 016957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0819118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.