Robert Sutton, DMD

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

4912 Southfork Dr
Lakeland, FL 33813-2042

Phone

(863) 648-5353

Fax

(863) 648-5253

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert W. Sutton, D.M.D.,P.a.

  • Customized Equipment (DME)
  • Lakeland, FL
  • NPI 1487084224
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1295859957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 SOUTHFORK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132042",
            "telephone_number": "863-648-5353",
            "fax_number": "863-648-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 SOUTHFORK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132042",
            "telephone_number": "863-648-5353",
            "fax_number": "863-648-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ROBERT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11529",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgicare of Central Florida-Lakeland, LLC
• Luis Javier Suri Bracero
• Joene Graven Sussex, LCSW
• Lauren Sutherland, M.S.
• Kelly Sutton, L.M.T.
• Suzanne Lavelle LLC
• Mohamed Swalih
• Swan City Chiropractic Corporation
• Swan City Eye Care
• Swan City Music Therapy, LLC

• Customized Equipment (DME) in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.