Ben A. Sutter, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8728 Issued in OR

Practice address

4734 River Rd N
Keizer, OR 97303-4536

Phone

(503) 463-4663

Fax

(503) 463-4666

NPI assigned

Nov 22, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 9, 2015 through Jun 9, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ben a Sutter DMD PC

  • Dentist
  • Eugene, OR
  • NPI 1396016770
  NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1457426538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034536",
            "telephone_number": "503-463-4663",
            "fax_number": "503-463-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034536",
            "telephone_number": "503-463-4663",
            "fax_number": "503-463-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "BEN",
        "middle_name": "A.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Dee Stoddard, PTA
• John Darcy Story, LMT
• Cynthia Suzanne Strawn, O.D.
• Rhonda Lynn Struth, LCSW
• Joel M Suckow, M.D.
• Kirstie Swenson, MA
• Karen Gail Sylvester, PHARMACIST
• Dustin Talbott
• Tandem Northwest, Inc.
• Elinor Tejeda, LPC

• General Practice Dentistry in Keizer, OR
• Providers in Keizer, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.