Organization Active NPI

Robert W. Sutton, D.M.D.,P.a.

  • Customized Equipment (DME)
  • Lakeland, FL
National Provider Identifier
1487084224
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
11529 Issued in FL
Legal business name
ROBERT W. SUTTON, D.M.D.,P.A.
Practice address
4912 Southfork Dr
Lakeland, FL 33813-2042
Phone
(863) 648-5353
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Dr. Robert Sutton, DMDNPI 1295859957
Title
Pres
Phone
(863) 648-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 11529 FL Primary

Addresses

Primary practice location

4912 Southfork Dr
Lakeland, FL 33813-2042

Mailing address

4912 Southfork Dr
Lakeland, FL 33813-2042
Phone (863) 648-5353

National Provider Directory

National Provider Directory

Locations

4912 Southfork Dr
Lakeland, FL 33813
Phone (863) 455-4348

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": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1487084224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 SOUTHFORK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132042",
            "telephone_number": "863-648-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 SOUTHFORK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132042",
            "telephone_number": "863-648-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. SUTTON, D.M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "863-648-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "11529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.