Lawrence Timothy Hutson, M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019-021379 Issued in IL

Practice address

929 W Spresser St
Taylorville, IL 62568-1831

Phone

(217) 287-7969

Fax

(217) 287-1478

NPI assigned

Jul 7, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dr Timothy Hutson Dentist

  • Dentist
  • Taylorville, IL
  • NPI 1265514285
  NPD (past) Authorized official

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1447413877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W SPRESSER ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681831",
            "telephone_number": "217-287-7969",
            "fax_number": "217-287-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W SPRESSER ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681831",
            "telephone_number": "217-287-7969",
            "fax_number": "217-287-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "LAWRENCE",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-021379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice Care of Taylorville Memorial Hospital
• Sara Howe, COTA
• HSHS Medical Group Inc
• Hugo H Orlandini Jr
• Robert Charles Huss, DDS
• Natalie Rae Inman, BA, CADC
• Leslie K Jackson, MD
• John L Kain, DC
• Lynn Marie Kink, M.D.
• Haley Klein

• Dentist in Taylorville, IL
• Providers in Taylorville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.

Verify at the official NPI Registry.