Individual provider Active NPI

Alejandra Defuentes Cutter

  • General Practice Dentistry
  • Plymouth, MI
National Provider Identifier
1669711644
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020850 Issued in MI
Practice address
980 Ann Arbor Rd W
Plymouth, MI 48170-2139
Phone
(734) 453-9413
Fax
(734) 453-9197
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020850 MI Primary

Addresses

Primary practice location

980 Ann Arbor Rd W
Plymouth, MI 48170-2139

Mailing address

50255 Boardwalk Ave
Northville, MI 48167-0136
Phone (248) 892-7651

Other names 1

  • Dr. Alejandra Defuentes Former name

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

LicenseStateTypeSpecialty
2901020850MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Soothing Dental PLLC CurrentSince Nov 1, 2023 Accepting new patients
Andrea S. Vivian, DDS, PC General Practice PastSince Nov 1, 2023 Accepting new patients

Locations

496 W Ann Arbor Trl
Ste 201
Plymouth, MI 48170
Phone (734) 453-9413

980 Ann Arbor Rd W
Plymouth, MI 48170
Phone (734) 453-9413

Organizations & group practices 2

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1669711644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50255 BOARDWALK AVE",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481670136",
            "telephone_number": "248-892-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702139",
            "telephone_number": "734-453-9413",
            "fax_number": "734-453-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTER",
        "first_name": "ALEJANDRA",
        "middle_name": "DEFUENTES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEJANDRA",
            "last_name": "DEFUENTES",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.