Individual provider Active NPI

Thomas Wright Lutz, D.O.

  • General Practice Physician
  • Carefree, AZ
National Provider Identifier
1417142829
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2303 Issued in AZ
Practice address
6443 E El Sendero
Carefree, AZ 85377-2521
Phone
(480) 488-1556
Fax
(480) 488-6999
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 Physician 208D00000X 2303 AZ Primary

Addresses

Primary practice location

6443 E El Sendero
Carefree, AZ 85377-2521

Mailing address

PO Box 2521
Carefree, AZ 85377-2521
Phone (480) 488-1556

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
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1417142829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2521",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853772521",
            "telephone_number": "480-488-1556",
            "fax_number": "480-488-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 E EL SENDERO",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853772521",
            "telephone_number": "480-488-1556",
            "fax_number": "480-488-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "THOMAS",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "2303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carefree, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.