Tracy M Northcutt, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

4657 Issued in AL

Practice address

23678 Highway 98
Fairhope, AL 36532-3336

Phone

(251) 928-8770

Fax

(251) 928-8724

NPI assigned

Nov 10, 2008

Sex

Female

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 AL

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": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1497909055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23678 HIGHWAY 98",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323336",
            "telephone_number": "251-928-8770",
            "fax_number": "251-928-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23678 HIGHWAY 98",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323336",
            "telephone_number": "251-928-8770",
            "fax_number": "251-928-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "TRACY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Russell Norris, RN
• William B. Norris, M.D.
• Matthew Norrod, DO
• Northcutt Dental Practice
• John David Northcutt III, D.M.D.
• Northland Hearing Center, Inc.
• Northland Hearing Centers, Inc.
• Mallory Mozley Nottenkamper, PA-C
• Matthews McDonnell O'Connor, MD
• Oakland Place, Inc

• All providers in Fairhope, AL
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.