Individual provider Active NPI

Satish Chuttoo, DDS

  • General Practice Dentistry
  • Amarillo, TX
National Provider Identifier
1245545888
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25773 Issued in TX
Practice address
2210 Bell Street
Kool Smiles
Amarillo, TX 79106
Phone
(806) 553-5079
NPI assigned
Aug 6, 2010
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25773 TX Primary

Addresses

Primary practice location

2210 Bell Street
Kool Smiles
Amarillo, TX 79106

Mailing address

2152 Timberridge Court
Westbloomfield, MI 48324
Phone (248) 787-5185

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150610000441 TX Order and Referring Only - DentistPractitioner - Dentist 8729309133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25773TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1245545888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 TIMBERRIDGE COURT",
            "city": "WESTBLOOMFIELD",
            "state": "MI",
            "postal_code": "48324",
            "telephone_number": "248-787-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 BELL STREET",
            "address_2": "KOOL SMILES",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-553-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUTTOO",
        "first_name": "SATISH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.