Active NPI
Nicholas Dutcheshen
- Orthopaedic Surgery Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301077647
- Legal business name
- NICHOLAS DUTCHESHEN
- Practice address
- 1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851 - Phone
- (248) 244-9426
- NPI assigned
- Apr 1, 2015
- Last updated
- Apr 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Dutcheshen, M.D.
- Title
- President
- Phone
- (248) 244-9426
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301077647 | MI | Primary |
Addresses
Primary practice location
1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851
Mailing address
1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851
Phone (248) 244-9426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5223466 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Nicholas Dutcheshen
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Troy, MI
- NPI 1730565482
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Troy, MI
- NPI 1568420305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427846400000",
"number": "1437544012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 KIRTS BLVD",
"address_2": "SUITE 160",
"city": "TROY",
"state": "MI",
"postal_code": "480844851",
"telephone_number": "248-244-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 KIRTS BLVD",
"address_2": "SUITE 160",
"city": "TROY",
"state": "MI",
"postal_code": "480844851",
"telephone_number": "248-244-9426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS DUTCHESHEN",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-01",
"last_updated": "2015-04-01",
"status": "A",
"authorized_official_last_name": "DUTCHESHEN",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-244-9426",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301077647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5223466",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.