Susan Putthoff, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26452 Issued in TX

Practice address

700 Earl Garrett St
Kerrville, TX 78028-3325

Phone

(940) 781-3454

NPI assigned

Dec 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sezac Partners PLLC

  • General Practice Dentistry
  • Kerrville, TX
  • NPI 1538931407
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1215239884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EARL GARRETT ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283325",
            "telephone_number": "940-781-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EARL GARRETT ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283325",
            "telephone_number": "940-781-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTTHOFF",
        "first_name": "SUSAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26452",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Rinze Pronk, CRNA
• Anna Marie Pruitt, LPC
• Lori Gayle Pruitt, FNP-C
• Patrick Pruitt, A/ACNP-BC
• Joe M Pruneda III, MD
• Jennifer L Quiram, NP
• Pamela Raborn, LMSW
• Lindy Thaddeus Rachal, M.D.
• Melissa Ann Ramirez, LPC
• Sylvester G. Ramirez, MD

• General Practice Dentistry in Kerrville, TX
• Providers in Kerrville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.