Christopher Tutt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31076 Issued in TX

Practice address

11094 Hidden Hollow Lane
Tyler, TX 75703

Phone

(903) 530-0872

NPI assigned

Jul 1, 2015

Last updated

Jan 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pine Creek Dental, PLLC

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1639549454
  NPD (past) Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451606400000",
    "number": "1225411804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 S BROADWAY AVE # 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035227",
            "telephone_number": "903-561-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11094 HIDDEN HOLLOW LANE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-530-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2016-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turning Point Recovery Centers
• Turtle Creek Surgery Center
• Turtle Creek Surgery Center LLC
• Turtle Creek Surgery Center, LLC (Turtle Creek Anesthesia Group)
• Carrie Danae Tutt, M.D.
• Juanita Tutt
• Richard R Tutt, M.D.
• TX Non-Emergent Medical Transportation LLC (Treatment Transportation)
• TX NP Health, PLLC
• TXLC Transport, LTD

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, 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 Jan 1, 2016; 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.