Active NPI
Dustin McCutcheon, MHPP
- Case Manager/Care Coordinator
- Harrison, AR
National Provider Identifier
1497189625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 823 N Main St
Harrison, AR 72601-2914 - Phone
- (870) 741-2960
- Fax
- (870) 741-2965
- NPI assigned
- Aug 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
823 N Main St
Harrison, AR 72601-2914
Mailing address
823 N Main St
Harrison, AR 72601-2914
Phone (870) 741-2960
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxus Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1497189625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 N MAIN ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012914",
"telephone_number": "870-741-2960",
"fax_number": "870-741-2965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 N MAIN ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012914",
"telephone_number": "870-741-2960",
"fax_number": "870-741-2965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHEON",
"first_name": "DUSTIN",
"credential": "MHPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-23",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.