Individual provider Active NPI

Mark Brandon Schutte, DDS

  • General Practice Dentistry
  • Pasco, WA
National Provider Identifier
1487887972
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60106594 Issued in WA
Practice address
6225 Burden Blvd
Pasco, WA 99301
Phone
(509) 547-3000
Fax
(509) 547-3223
NPI assigned
Aug 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE 60106594 WA Primary
Dentist 122300000X DE60106594 WA

Addresses

Primary practice location

6225 Burden Blvd
Pasco, WA 99301

Mailing address

2131 N Columbia River Rd
Pasco, WA 99301-8810
Phone (509) 989-3692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60106594WAMDDentist
DE 60106594WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Schutte D.D.S. PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1487887972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 N COLUMBIA RIVER RD",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018810",
            "telephone_number": "509-989-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 BURDEN BLVD",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-547-3000",
            "fax_number": "509-547-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTE",
        "first_name": "MARK",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60106594",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60106594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.