NPIMap

Organization Active NPI

Nathaniel P Mutch DDS, PLLC

  • General Practice Dentistry
  • Lapeer, MI
National Provider Identifier
1457896953
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NATHANIEL P MUTCH DDS, PLLC
Practice address
381 N Saginaw St
Lapeer, MI 48446-2662
Phone
(810) 664-4542
Fax
(810) 664-3580
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Dr. Nathaniel P Mutch, D.D.S.NPI 1346400470
Title
Dentist
Phone
(810) 664-4542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

381 N Saginaw St
Lapeer, MI 48446-2662

Mailing address

381 N Saginaw St
Lapeer, MI 48446-2662
Phone (810) 664-4542

National Provider Directory

National Provider Directory
Tax ID family
Nathaniel P Mutch DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1457896953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 N SAGINAW ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462662",
            "telephone_number": "810-664-4542",
            "fax_number": "810-664-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 N SAGINAW ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462662",
            "telephone_number": "810-664-4542",
            "fax_number": "810-664-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL P MUTCH DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "MUTCH",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-664-4542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.