Individual provider Active NPI

Gregory Duane Tuttle, DDS

  • Public Health Dentistry
  • De Smet, SD
National Provider Identifier
1376538462
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
M659 Issued in SD
Practice address
801 3Rd St. SW
Desmet, SD 57231
Phone
(605) 854-3444
Fax
(605) 854-9952
NPI assigned
Sep 14, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M659 SD
Public Health Dentistry 1223D0001X M659 SD Primary
General Practice Dentistry 1223G0001X M659 SD

Addresses

Primary practice location

801 3Rd St. SW
Desmet, SD 57231

Mailing address

944 Heatherwood Ave
Madison, SD 57042-3721
Phone (605) 556-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20150123000970 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9739403676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M659SDMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376538462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 HEATHERWOOD AVE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423721",
            "telephone_number": "605-556-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 3RD ST. SW",
            "city": "DESMET",
            "state": "SD",
            "postal_code": "57231",
            "telephone_number": "605-854-3444",
            "fax_number": "605-854-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "GREGORY",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M659",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "SD",
            "license": "M659",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Smet, SD

Sources for this page

Verify at the official NPI Registry.