Active NPI
Mark Robert Sutton, DDS
- Dentist
- Cos Cob, CT
National Provider Identifier
1447557145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7365
- Practice address
- 391 E Putnam Ave
Cos Cob, CT 06807-2579 - Phone
- (203) 869-2066
- Fax
- (203) 869-1477
- NPI assigned
- Feb 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7365 | CT | Primary |
Addresses
Primary practice location
391 E Putnam Ave
Cos Cob, CT 06807-2579
Mailing address
391 E Putnam Ave
Cos Cob, CT 06807-2579
Phone (203) 869-2066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7365 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1447557145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 E PUTNAM AVE",
"city": "COS COB",
"state": "CT",
"postal_code": "068072579",
"telephone_number": "203-869-2066",
"fax_number": "203-869-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 E PUTNAM AVE",
"city": "COS COB",
"state": "CT",
"postal_code": "068072579",
"telephone_number": "203-869-2066",
"fax_number": "203-869-1477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "MARK",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "7365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.