NPIMap

Organization Active NPI

Charles D McNutt DDS PA

  • Point of Service
  • Sunrise, FL
National Provider Identifier
1720530447
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
DN5807 Issued in FL
Legal business name
CHARLES D MCNUTT DDS PA
Practice address
3501 NW 84TH Ave
Sunrise, FL 33351-6607
Phone
(954) 741-2323
Fax
(954) 749-3606
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Charles McNutt
Title
Dentist
Phone
(954) 741-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X DN5807 FL Primary

Addresses

Primary practice location

3501 NW 84TH Ave
Sunrise, FL 33351-6607

Mailing address

3501 NW 84TH Ave
Sunrise, FL 33351-6607
Phone (954) 741-2323

National Provider Directory

National Provider Directory
Tax ID family
Charles D McNutt DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1720530447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-741-2323",
            "fax_number": "954-749-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-741-2323",
            "fax_number": "954-749-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D MCNUTT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "MCNUTT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-741-2323"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "DN5807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.