Timothy W. Kutas D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DS7087 Issued in TN

Legal business name

TIMOTHY W. KUTAS D.D.S.

Practice address

519 N Highland St
Memphis, TN 38122-4521

Phone

(901) 327-5604

Fax

(901) 327-5605

NPI assigned

May 27, 2008

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Walter Kutas, DDSNPI 1750476099

Title

Owner

Phone

(901) 327-5604

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Walter Kutas, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1750476099
  NPD (past) Authorized official
• Sarah Kutas, DDS

  • General Practice Dentistry
  • Germantown, TN
  • NPI 1033893888
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1740448810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N HIGHLAND ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224521",
            "telephone_number": "901-327-5604",
            "fax_number": "901-327-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N HIGHLAND ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224521",
            "telephone_number": "901-327-5604",
            "fax_number": "901-327-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY W. KUTAS D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "KUTAS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-327-5604",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS7087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3203705",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Tilley, PHARM.D.
• Loria Tillis-Broom, EDS
• Carlos Lavay Tillman
• Shrishiv Timbalia, MD
• Times of Refreshing Enterprises
• Tina M Todd NP LLC
• Tina's Transportation
• Jayne Tingley, LMHC
• Christopher Lon Tinkle
• Lashonna Denise Tinner

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.