Active NPI
Karen L. Hutchison, DMD
- General Practice Dentistry
- Roanoke, VA
National Provider Identifier
1760509012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401410928
- Practice address
- 4572 Franklin Rd SW
Roanoke, VA 24014-5144 - Phone
- (540) 769-5020
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401410928 | VA | Primary |
Addresses
Primary practice location
4572 Franklin Rd SW
Roanoke, VA 24014-5144
Mailing address
2620 Carolina Ave SW
Roanoke, VA 24014-2310
Phone (540) 400-7075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247304 | Other | VA | ANTHEM PROVIDER NUMBER |
| 1634693 | Other | VA | UNITED CONCORDIA PROVIDER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401410928 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard D Smith II DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Roanoke, VA
- NPI 1285955260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760509012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 CAROLINA AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142310",
"telephone_number": "540-400-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4572 FRANKLIN RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240145144",
"telephone_number": "540-769-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHISON",
"first_name": "KAREN",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401410928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "247304",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "1634693",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
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.