Antonio Cutlatsakes, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055706 Issued in NY

Practice address

16 Park Ave
Suite 2a
New York, NY 10016-4329

Phone

(212) 370-1100

NPI assigned

Aug 11, 2010

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1356656557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PARK AVE",
            "address_2": "SUITE 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164329",
            "telephone_number": "212-370-1100",
            "fax_number": "212-697-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PARK AVE",
            "address_2": "SUITE 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164329",
            "telephone_number": "212-370-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTLATSAKES",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Custom Healthcare Solutions
• Customer Marketing Group
• Catherine Rita Cusumano, L.AC., M.S.
• Erin Cusumano
• Alexis Cutchins, MD
• Ilene Cutler Vroom, MSW
• Anne E.G. Cutler, L.P.
• Bradley J Cutler, DDS
• Deborah F Cutler, D.C.
• Emily Cutler, PT, DPT

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.