Individual provider Active NPI

Nathan Joseph Sutti, CO, LPO

  • Orthotist
  • Dallas, TX
National Provider Identifier
1346529401
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CO004984 Issued in TX
Practice address
6011 Harry Hines Blvd
Suite V2.302
Dallas, TX 75390-9091
Phone
(214) 645-8250
Fax
(214) 645-8258
NPI assigned
Aug 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CO004984 TX Primary

Addresses

Primary practice location

6011 Harry Hines Blvd
Suite V2.302
Dallas, TX 75390-9091

Mailing address

6011 Harry Hines Blvd.
Suite V2.302
Dallas, TX 75390-9091
Phone (214) 645-8250

Other identifiers 1

IdentifierTypeStateIssuer
086893706MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO004984TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1346529401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 HARRY HINES BLVD.",
            "address_2": "SUITE V2.302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909091",
            "telephone_number": "214-645-8250",
            "fax_number": "214-645-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 HARRY HINES BLVD",
            "address_2": "SUITE V2.302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909091",
            "telephone_number": "214-645-8250",
            "fax_number": "214-645-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTI",
        "first_name": "NATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CO, LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "CO004984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086893706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.