Individual provider Active NPI

Luther Hill Hutchens Jr., DDS

  • Periodontics
  • Jacksonville, NC
National Provider Identifier
1720121791
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3119 Issued in NC
Practice address
200 Doctors Dr Ste N
Jacksonville, NC 28546-6308
Phone
(910) 577-1315
Fax
(910) 577-1078
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 3119 NC Primary

Addresses

Primary practice location

200 Doctors Dr Ste N
Jacksonville, NC 28546-6308

Mailing address

544 Fiddler'S Ridge Dr.
Atlantic Beach, NC 28512
Phone (252) 247-5708

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3199NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jose I. Arauz-Dutari,DMD, PA Periodontics Past Accepting new patients
Jeffery R. Thomas, DDS, PA Periodontics Past Accepting new patients
University of North Carolina at Chapel Hill PastSince Feb 14, 1996 Accepting new patients
Patrick M. McDonough, D.D.S., M.S., P.a. Periodontics Past Accepting new patients
Henry M Best III DDS PLLC Periodontics Past Accepting new patients

Organizations & group practices 5

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720121791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 FIDDLER'S RIDGE DR.",
            "city": "ATLANTIC BEACH",
            "state": "NC",
            "postal_code": "28512",
            "telephone_number": "252-247-5708",
            "fax_number": "252-247-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR STE N",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466308",
            "telephone_number": "910-577-1315",
            "fax_number": "910-577-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHENS",
        "first_name": "LUTHER",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "3119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • 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.