Active NPI
Guido Sutter, D.D.S.
- Dentist
- Gulfport, MS
National Provider Identifier
1396976643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1685-75
- Practice address
- 19441 Pinehurst PL. E.
Gulfport, MS 39503-8455 - Phone
- (800) 417-8205
- NPI assigned
- Aug 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1685-75 | MS | Primary |
| Dentist | 122300000X | 2558 | LA |
Addresses
Primary practice location
19441 Pinehurst PL. E.
Gulfport, MS 39503-8455
Mailing address
19441 Pinehurst PL. E.
Gulfport, MS 39503-8455
Phone (800) 417-8205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2558 | LA | MD | Professional Counselor |
| 1685-75 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1396976643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19441 PINEHURST PL. E.",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395038455",
"telephone_number": "800-417-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19441 PINEHURST PL. E.",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395038455",
"telephone_number": "800-417-8205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTER",
"first_name": "GUIDO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-05",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "1685-75",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "2558",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.