Mary Katherine Tourtlotte, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

54111 Issued in CA

Practice address

1473 E G St
Ste C
Oakdale, CA 95361-4205

Phone

(209) 848-8074

NPI assigned

Mar 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• River Oak Dental Spa Dental Office of Tourtlotte Dental Corporation

  • General Practice Dentistry
  • Oakdale, CA
  • NPI 1245342542
  NPD (past)

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1790051340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 E G ST",
            "address_2": "STE C",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953614205",
            "telephone_number": "209-848-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 E G ST",
            "address_2": "STE C",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953614205",
            "telephone_number": "209-848-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURTLOTTE",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Payless Inc
• Thrifty Payless Inc
• Tom F. Mihok
• Tejal Tomke
• Christina Louise Tourtlotte, DDS
• Charles Barry Tuggle, MFT
• Bruce Warren Turley, D.C.
• Mary Beth Tuttle
• Valley Associated Urology Medical Group Inc
• Valley View Optometry

• Dentist in Oakdale, CA
• Providers in Oakdale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.