David L. Shutt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5981 Issued in KY

Practice address

4122 Shelbyville Rd
Suite 115
Louisville, KY 40207-3242

Phone

(502) 895-2210

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Blincoe & Shutt PSC

  • Customized Equipment (DME)
  • Louisville, KY
  • NPI 1861285918
  NPD Authorized official
• Blincoe & Shutt PSC

  • Dentist
  • Louisville, KY
  • NPI 1306220140
  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487779708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 SHELBYVILLE RD",
            "address_2": "SUITE 115",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073242",
            "telephone_number": "502-895-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 SHELBYVILLE RD",
            "address_2": "SUITE 115",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073242",
            "telephone_number": "502-895-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTT",
        "first_name": "DAVID",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Denise Shunnarah, APRN, FNP-C
• Christina Shunnarah, BCBA
• Myron F Shuster, DMD
• Angelica Shutt, LCSW
• Autumn Faith Shutt, APRN
• Emily Storms Shutt, APRN
• Travis Allen Shutt, M.D.
• Hiba Iman Shuttari, M.A, CF-SLP
• Massad Natheer Shweihat
• Siara Care Chiropractic Center, PLLC

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.