Individual provider Active NPI

Bruce Allen Mutchler, DDS

  • General Practice Dentistry
  • Findlay, OH
National Provider Identifier
1437174893
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17943 Issued in OH
Practice address
133 Hillcrest Ave
Findlay, OH 45840-4115
Phone
(419) 423-0343
Fax
(419) 423-0469
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 17943 OH Primary

Addresses

Primary practice location

133 Hillcrest Ave
Findlay, OH 45840-4115

Mailing address

133 Hillcrest Ave
Findlay, OH 45840-4115
Phone (419) 423-0343

Other identifiers 1

IdentifierTypeStateIssuer
0625738MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160217002118 OH Order and Referring Only - DentistPractitioner - Dentist 2163727876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Mutchler, D.D.S. Kathryn Lewis, D.D.S., LLC 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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437174893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HILLCREST AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458404115",
            "telephone_number": "419-423-0343",
            "fax_number": "419-423-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HILLCREST AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458404115",
            "telephone_number": "419-423-0343",
            "fax_number": "419-423-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTCHLER",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0625738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.