Active NPI
Cody Cutler, D.D.S.
- Dentist
- Queen Creek, AZ
National Provider Identifier
1437598216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8928
- Practice address
- 23844 S Power Rd
Ste. B106
Queen Creek, AZ 85142-6152 - Phone
- (317) 753-1570
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12011994A | IN | |
| Dentist | 122300000X | 8928 | AZ | Primary |
Addresses
Primary practice location
23844 S Power Rd
Ste. B106
Queen Creek, AZ 85142-6152
Mailing address
23424 S 223Rd PL
Queen Creek, AZ 85142-3218
Phone (317) 753-1570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160516002016 | AZ | Order and Referring Only - Oral Surgery | 0244529113 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011994A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HDP Wolff Dental 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.
-
- General Practice Dentistry
- Queen Creek, AZ
- NPI 1720649189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1437598216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23424 S 223RD PL",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851423218",
"telephone_number": "317-753-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23844 S POWER RD",
"address_2": "STE. B106",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851426152",
"telephone_number": "317-753-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLER",
"first_name": "CODY",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12011994A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "8928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.