Organization Active NPI

Sutherland and Cravatt DDS Inc

  • General Practice Dentistry
  • Rolling Hills Estates, CA
National Provider Identifier
1487739793
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43862 Issued in CA
Legal business name
SUTHERLAND AND CRAVATT DDS INC
Doing business as
Peninsula Dental Arts
Practice address
927 Deep Valley Dr
Suite 125
Rolling Hills Estates, CA 90274-3808
Phone
(310) 377-9575
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steve Sutherland, DDS
Title
Owner
Phone
(310) 318-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43862 CA Primary

Addresses

Primary practice location

927 Deep Valley Dr
Suite 125
Rolling Hills Estates, CA 90274-3808

Mailing address

927 Deep Valley Dr
Suite 125
Rolling Hills Estates, CA 90274-3808
Phone (310) 377-9575

Other names 1

  • Peninsula Dental Arts Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487739793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 DEEP VALLEY DR",
            "address_2": "SUITE 125",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743808",
            "telephone_number": "310-377-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 DEEP VALLEY DR",
            "address_2": "SUITE 125",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743808",
            "telephone_number": "310-377-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTHERLAND AND CRAVATT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-318-3303",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.