Eric McCutcheon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901018898 Issued in MI

Practice address

22646 E 9 Mile Rd
Ste. B
Saint Clair Shores, MI 48080-1951

Phone

(586) 778-4151

Fax

(586) 778-3291

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1295827020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22646 E 9 MILE RD",
            "address_2": "STE. B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801951",
            "telephone_number": "586-778-4151",
            "fax_number": "586-778-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22646 E 9 MILE RD",
            "address_2": "STE. B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801951",
            "telephone_number": "586-778-4151",
            "fax_number": "586-778-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie B McCarren, M.D.
• Erin McCormick
• Judy A McCown, PH.D.
• Naejuan McCullough
• Sha-Juana McCullough
• Bethany Ann McDade, AGPCNP-BC
• Robert Paul McGahey, MD
• Sandria Sandora McGee
• Sarah McGhie, D.C.
• Julie Lynn McGregor, M.ED.

• Dentist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.