Gene A. Stutsman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7181 Issued in IN

Practice address

1801 Charlton CT
Goshen, IN 46526-6464

Phone

(574) 533-8934

Fax

(574) 533-9487

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Goshen Cosmetic and Advanced Family Dentistry PC

  dba Stutsman Dentistry

  • General Practice Dentistry
  • Goshen, IN
  • NPI 1356562631
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649491960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CHARLTON CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266464",
            "telephone_number": "574-533-8934",
            "fax_number": "574-533-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CHARLTON CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266464",
            "telephone_number": "574-533-8934",
            "fax_number": "574-533-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTSMAN",
        "first_name": "GENE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "7181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey N Stose, MSW, LSW
• Kimberly Sue Stuckey Schrock, M.D.
• Teneesa Stuckey, WHNP
• Stacia Stults
• Chad G. Stutsman, DDS
• Phyllis D Stutzman, MSW
• Michelle Suen, RN, MSN, PMHNP
• Mayra Suter, LCSW
• Sharese A. Swafford, LMHC, LCAC
• Raymond Elmer Swanson, MD

• General Practice Dentistry in Goshen, IN
• Providers in Goshen, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.