Organization Active NPI

Stephen C. Tuttle, DDS, a Propfessional Corporation

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1649304601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
23877 Issued in CA
Legal business name
STEPHEN C. TUTTLE, DDS, A PROPFESSIONAL CORPORATION
Practice address
9982 Scripps Ranch Blvd
San Diego, CA 92131-1825
Phone
(858) 566-8510
Fax
(858) 566-8384
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen Caldwell Tuttle, DDSNPI 1588798540
Title
President
Phone
(858) 566-8510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 23877 CA Primary

Addresses

Primary practice location

9982 Scripps Ranch Blvd
San Diego, CA 92131-1825

Mailing address

9982 Scripps Ranch Blvd
San Diego, CA 92131-1825
Phone (858) 566-8510

National Provider Directory

National Provider Directory

Locations

9982 Scripps Ranch Blvd
San Diego, CA 92131
Phone (858) 566-8510

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649304601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9982 SCRIPPS RANCH BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311825",
            "telephone_number": "858-566-8510",
            "fax_number": "858-566-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9982 SCRIPPS RANCH BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311825",
            "telephone_number": "858-566-8510",
            "fax_number": "858-566-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C. TUTTLE, DDS, A PROPFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CALDWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-566-8510",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "23877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.