NPIMap

Organization Active NPI

Candice Hutcheson, D.D.S., M.S., PLLC

  • Pediatric Dentistry
  • Richardson, TX
National Provider Identifier
1699863415
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
23843 Issued in TX
Legal business name
CANDICE HUTCHESON, D.D.S., M.S., PLLC
Practice address
100 N Central Expy
Suite 1108
Richardson, TX 75080-5332
Phone
(972) 235-8555
Fax
(972) 235-3148
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Dr. Candice Zerby Hutcheson, DDS, MSNPI 1386810505
Title
Owner
Phone
(972) 235-8555

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 11388 TX
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 23843 TX Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 19681 TX
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

100 N Central Expy
Suite 1108
Richardson, TX 75080-5332

Mailing address

100 N Central Expy
Suite 1108
Richardson, TX 75080-5332
Phone (972) 235-8555

Other identifiers 1

IdentifierTypeStateIssuer
091017604MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1699863415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY",
            "address_2": "SUITE 1108",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805332",
            "telephone_number": "972-235-8555",
            "fax_number": "972-235-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY",
            "address_2": "SUITE 1108",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805332",
            "telephone_number": "972-235-8555",
            "fax_number": "972-235-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDICE HUTCHESON, D.D.S., M.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "HUTCHESON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "ZERBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-235-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "11388",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23843",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "19681",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091017604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.