Active NPI
Michael O. McCutcheon
- Dental Clinic/Center
- Hartselle, AL
National Provider Identifier
1174089361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.