Individual provider Active NPI

David Michael Pressutti Jr., DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fresno, CA
National Provider Identifier
1235442039
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
59470 Issued in CA
Practice address
726 W Barstow Ave
Suite 115
Fresno, CA 93704-1955
Phone
(559) 431-3559
NPI assigned
Jul 21, 2010
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 59470 CA Primary

Addresses

Primary practice location

726 W Barstow Ave
Suite 115
Fresno, CA 93704-1955

Mailing address

2241 Serena Ave
Clovis, CA 93619-2807
Phone (559) 797-5692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150810002824 CA Order and Referring Only - DentistPractitioner - Dentist 7719292440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: dpressutti@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1235442039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 SERENA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936192807",
            "telephone_number": "559-797-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 W BARSTOW AVE",
            "address_2": "SUITE 115",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041955",
            "telephone_number": "559-431-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSUTTI",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "59470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.