Active NPI
Sergio Kuttler, BS, DDS
- Endodontics
- Plantation, FL
National Provider Identifier
1740297852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DTP279
- Practice address
- 11202 NW 9TH St
Plantation, FL 33325-1523 - Phone
- (954) 900-4305
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DTP279 | FL | Primary |
Addresses
Primary practice location
11202 NW 9TH St
Plantation, FL 33325-1523
Mailing address
11202 NW 9TH Street
Plantation, FL 33325-1523
Phone (954) 900-4305
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DTP279 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740297852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11202 NW 9TH STREET",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333251523",
"telephone_number": "954-900-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11202 NW 9TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333251523",
"telephone_number": "954-900-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTTLER",
"first_name": "SERGIO",
"name_prefix": "Dr.",
"credential": "BS, DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DTP279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.