Active NPI
David Eugene McNutt, DDS
- Pediatric Dentistry
- Nashville, TN
National Provider Identifier
1649890583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 11425
- Practice address
- 3817 Bedford Ave Ste 120
Nashville, TN 37215-2534 - Phone
- (615) 383-0171
- NPI assigned
- Apr 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 11425 | TN | Primary |
Addresses
Primary practice location
3817 Bedford Ave Ste 120
Nashville, TN 37215-2534
Mailing address
813 Chalkstone LN
Mt Juliet, TN 37122-0628
Phone (615) 739-4703
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11425 | TN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1649890583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 CHALKSTONE LN",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371220628",
"telephone_number": "615-739-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3817 BEDFORD AVE STE 120",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152534",
"telephone_number": "615-383-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNUTT",
"first_name": "DAVID",
"middle_name": "EUGENE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-21",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "11425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.