Individual provider Active NPI

Danuta Sahutske, D.D.S.

  • Dentist
  • Oxford, MI
National Provider Identifier
1235338070
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14804 Issued in MI
Practice address
91 S Washington St
Oxford, MI 48371-4979
Phone
(248) 628-2540
Fax
(248) 628-2462
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14804 MI Primary

Addresses

Primary practice location

91 S Washington St
Oxford, MI 48371-4979

Mailing address

6875 Hubbard Rd
Clarkston, MI 48348-2823
Phone (248) 766-9120

Other identifiers 1

IdentifierTypeStateIssuer
1184761322OtherMINPI GROUP PRACTICE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20150623001837 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002127651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14804MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Lakes Dental Care Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1235338070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6875 HUBBARD RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482823",
            "telephone_number": "248-766-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714979",
            "telephone_number": "248-628-2540",
            "fax_number": "248-628-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHUTSKE",
        "first_name": "DANUTA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP PRACTICE NUMBER",
            "identifier": "1184761322",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.