Individual provider Active NPI

Cody Cutler, D.D.S.

  • Dentist
  • Queen Creek, AZ
National Provider Identifier
1437598216
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8928 Issued in AZ
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

Updated by the provider on May 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516002016 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244529113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011994AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.