Individual provider Active NPI

Strudwick Louis Tutwiler, DMD, MS

  • Endodontics
  • Morristown, TN
National Provider Identifier
1548524390
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS0000010916 Issued in TN
Practice address
2729 W Andrew Johnson Hwy
Morristown, TN 37814-3215
Phone
(423) 621-2000
Fax
(423) 621-2001
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS0000010916 TN Primary

Addresses

Primary practice location

2729 W Andrew Johnson Hwy
Morristown, TN 37814-3215

Mailing address

PO Box 532
Morristown, TN 37815
Phone (423) 621-2000

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS0000010916TNMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Morristown Endodontics PLLC CurrentSince Aug 25, 2019 Accepting new patients

Locations

2729 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 581-8130

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1548524390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37815",
            "telephone_number": "423-621-2000",
            "fax_number": "423-621-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143215",
            "telephone_number": "423-621-2000",
            "fax_number": "423-621-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTWILER",
        "first_name": "STRUDWICK",
        "middle_name": "LOUIS",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "DS0000010916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.