Organization Active NPI

Stephen Hutton DMD Professional Corporation

  • Periodontics
  • La Jolla, CA
National Provider Identifier
1376430553
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
STEPHEN HUTTON DMD PROFESSIONAL CORPORATION
Practice address
850 Prospect St Ste 7
La Jolla, CA 92037-4208
Phone
(858) 459-7374
NPI assigned
Jun 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Dr. Stephen Hutton, DMDNPI 1679821854
Title
Owner
Phone
(720) 648-7752

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

850 Prospect St Ste 7
La Jolla, CA 92037-4208

Mailing address

850 Prospect St Ste 7
La Jolla, CA 92037-4208
Phone (858) 459-7374

National Provider Directory

National Provider Directory

Locations

850 Prospect St
Ste 7
La Jolla, CA 92037
Phone (858) 459-7374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1376430553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PROSPECT ST STE 7",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374208",
            "telephone_number": "858-459-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PROSPECT ST STE 7",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374208",
            "telephone_number": "858-459-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN HUTTON DMD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-648-7752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.