Organization Active NPI

Matthew McNutt, DDS, Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clayton, NC
National Provider Identifier
1275705097
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7787 Issued in NC
Legal business name
MATTHEW MCNUTT, DDS, MS
Practice address
400 Tew CT
Suite 108
Clayton, NC 27520-2279
Phone
(919) 451-3704
NPI assigned
Apr 1, 2008
Last updated
Apr 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Matthew D McNuttNPI 1326188244
Title
Orthodontist
Phone
(919) 451-3704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7787 NC Primary

Addresses

Primary practice location

400 Tew CT
Suite 108
Clayton, NC 27520-2279

Mailing address

109 Richelieu Dr
Cary, NC 27518-8634
Phone (919) 451-3704

National Provider Directory

National Provider Directory

Locations

400 Tew Ct
#108
Clayton, NC 27520
Phone (919) 451-3704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1275705097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RICHELIEU DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188634",
            "telephone_number": "919-451-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TEW CT",
            "address_2": "SUITE 108",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202279",
            "telephone_number": "919-451-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW MCNUTT, DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "MCNUTT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "919-451-3704"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "7787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.