David Wayne Sutton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6820 Issued in OR

Practice address

1729 W Harvard Ave Ste 5
Roseburg, OR 97471-2795

Phone

(541) 672-4971

Fax

(541) 673-7200

NPI assigned

May 2, 2013

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

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sutton Dental Arts LLC

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1790783686
  NPD (past) Authorized official

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1376988485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 W HARVARD AVE STE 5",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712795",
            "telephone_number": "541-672-4971",
            "fax_number": "541-673-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 W HARVARD AVE STE 5",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712795",
            "telephone_number": "541-672-4971",
            "fax_number": "541-673-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piper Sullivan, MA, LPC
• Lindsay M Sunkler
• Heather Surgeon
• Sustainable Enterprises Inc
• Sutton Dental Arts LLC
• Rachel Sutton, RDH, BS, M.ED
• Juliet Swan, COUNSELOR
• Cherish S Sweeden, RDH
• Laurilee Sweeney
• Sweet Briar Nursing Center LLC

• General Practice Dentistry in Roseburg, OR
• Providers in Roseburg, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.