Organization Active NPI

Michael O. McCutcheon

  • Dental Clinic/Center
  • Hartselle, AL
National Provider Identifier
1174089361
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL O. MCCUTCHEON
Practice address
819 Highway 31 NW
Hartselle, AL 35640-4412
Phone
(256) 773-6579
Fax
(256) 773-6570
NPI assigned
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Michael McCutcheon, DO
Title
President
Phone
(256) 773-6579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

819 Highway 31 NW
Hartselle, AL 35640-4412

Mailing address

PO Box 1148
Hartselle, AL 35640-1148
Phone (256) 773-6579

Other names 1

  • Micharl O. McCutcheon, DMD, PC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1174089361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356401148",
            "telephone_number": "256-773-6579",
            "fax_number": "256-773-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404412",
            "telephone_number": "256-773-6579",
            "fax_number": "256-773-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O. MCCUTCHEON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHEON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-773-6579",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Micharl O. McCutcheon, DMD, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartselle, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.