Individual provider Active NPI

William Thomas Hutchins Jr., D.D.S.

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1396763868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3797 Issued in NC
Practice address
1307 E Millbrook Rd
Suite 108C
Raleigh, NC 27609-5476
Phone
(919) 876-8010
Fax
(919) 876-1163
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3797 NC Primary

Addresses

Primary practice location

1307 E Millbrook Rd
Suite 108C
Raleigh, NC 27609-5476

Mailing address

1307 E Millbrook Rd
Suite 108C
Raleigh, NC 27609-5476
Phone (919) 876-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160211000958 NC Order and Referring Only - DentistPractitioner - Dentist 2860796810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
W. Thomas Hutchins, Jr. D.D.S., PA. 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396763868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E MILLBROOK RD",
            "address_2": "SUITE 108C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095476",
            "telephone_number": "919-876-8010",
            "fax_number": "919-876-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E MILLBROOK RD",
            "address_2": "SUITE 108C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095476",
            "telephone_number": "919-876-8010",
            "fax_number": "919-876-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.