Kent Tuttle, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D009351 Issued in AZ

Practice address

1450 E White Mountain Blvd Ste a
Pinetop, AZ 85935-7091

Phone

(916) 990-5490

NPI assigned

Aug 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1497121362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E WHITE MOUNTAIN BLVD STE A",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357091",
            "telephone_number": "916-990-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E WHITE MOUNTAIN BLVD STE A",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357091",
            "telephone_number": "916-990-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 E Hazelwood Rd Unit 21",
            "address_purpose": "LOCATION",
            "city": "Young",
            "state": "AZ",
            "postal_code": "855540666",
            "country_code": "US",
            "telephone_number": "916-990-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "KENT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-9636",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Healthcare Medical Associates
• John James Swangler
• Christy Tarpley, LMSW-17952
• Timberline Medical
• Timberline Medical Supply
• Waypoint Recovery (Waypoint @ Double B)
• Wesley D Wermuth, D.D.S
• Mark Wessel, RN
• Shirley E Whitehead, WHCNP

• Dentist in Pinetop, AZ
• Providers in Pinetop, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.