Individual provider Active NPI

Joshua Todd Hutter, D.D.S.

  • General Practice Dentistry
  • Williamsville, NY
National Provider Identifier
1376567123
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50-052721 Issued in NY
Practice address
125 Lawrence Bell Dr
Suite 102
Williamsville, NY 14221-7817
Phone
(716) 634-4679
Fax
(716) 634-5415
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50-052721 NY Primary

Addresses

Primary practice location

125 Lawrence Bell Dr
Suite 102
Williamsville, NY 14221-7817

Mailing address

3990 McKinley Pkwy
Suite 2
Blasdell, NY 14219-2900
Phone (716) 649-1307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220301002144 NY Practitioner - Dentist 6608171889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50-052721NYMDGeneral Practice Dentistry
052721NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Dental Group,PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1376567123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 MCKINLEY PKWY",
            "address_2": "SUITE 2",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142192900",
            "telephone_number": "716-649-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LAWRENCE BELL DR",
            "address_2": "SUITE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217817",
            "telephone_number": "716-634-4679",
            "fax_number": "716-634-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTER",
        "first_name": "JOSHUA",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50-052721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.