Organization Active NPI

Nicholas T. Dutcheshen MD PC

  • Orthopaedic Surgery Physician
  • Troy, MI
National Provider Identifier
1730565482
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301077647 Issued in MI
Legal business name
NICHOLAS T. DUTCHESHEN MD PC
Practice address
1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851
Phone
(248) 244-9426
Fax
(248) 244-9495
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Dr. Nicholas T Dutcheshen, MD
Title
President
Phone
(248) 244-9426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 4301077647 MI Primary

Addresses

Primary practice location

1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851

Mailing address

1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851
Phone (248) 244-9426

Other identifiers 1

IdentifierTypeStateIssuer
5223466MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Nicholas Dutcheshen2 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": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1730565482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 KIRTS BLVD",
            "address_2": "SUITE 160",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844851",
            "telephone_number": "248-244-9426",
            "fax_number": "248-244-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 KIRTS BLVD",
            "address_2": "SUITE 160",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844851",
            "telephone_number": "248-244-9426",
            "fax_number": "248-244-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS T. DUTCHESHEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "DUTCHESHEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-244-9426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301077647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5223466",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.