David L Cloutier, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

26412 Issued in TX

Practice address

1100 NW Loop 410 Ste 515
San Antonio, TX 78213

Phone

(210) 341-8281

Fax

(210) 341-8282

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

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.

• San Antonio Endodontics Associates LLC

  • Endodontics
  • San Antonio, TX
  • NPI 1841714672
  NPD (past) Authorized official
• San Antonio Endodontic Associates PA

  • Endodontics
  • San Antonio, TX
  • NPI 1811983794
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1659570158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410 STE 515",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132259",
            "telephone_number": "210-341-8281",
            "fax_number": "210-341-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410 STE 515",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78213",
            "telephone_number": "210-341-8281",
            "fax_number": "210-341-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUTIER",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9027",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "26412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Closner, HHP, MBSR-P
• Austin Walter Clothier, RBT
• Kathryn Cloud
• Nicole R Cloudy, PT, DPT
• Veronica Clouse
• Marc Edward Cloutier, PHARMD
• Clover Home Health PLLC
• Gail Clowe, M.A.
• Brenda Lea Cloyd, SOCIAL WORKER
• CLS Regen, PLLC

• Endodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.