Active NPI
Gary Hutton, DDS
- General Practice Dentistry
- Hudson, NY
National Provider Identifier
1801960141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 031422-1
- Practice address
- 160 Fairview Ave
Fairview Plaza Suite 201
Hudson, NY 12534-1267 - Phone
- (518) 828-3007
- Fax
- (518) 828-9350
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- 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 | 031422-1 | NY | Primary |
Addresses
Primary practice location
160 Fairview Ave
Fairview Plaza Suite 201
Hudson, NY 12534-1267
Mailing address
6 Executive Park Dr
Suite 6C
Clifton Park, NY 12065-5601
Phone (518) 348-0240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00655436 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031422-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Hudson Valley New York Dental, PC | Past | Accepting new patients | |
| Capital Area Hudson Valley Ny Dental, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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
- Hudson, NY
- NPI 1003959982
-
- Dentist
- Latham, NY
- NPI 1790857944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1801960141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 EXECUTIVE PARK DR",
"address_2": "SUITE 6C",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120655601",
"telephone_number": "518-348-0240",
"fax_number": "518-348-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 FAIRVIEW AVE",
"address_2": "FAIRVIEW PLAZA SUITE 201",
"city": "HUDSON",
"state": "NY",
"postal_code": "125341267",
"telephone_number": "518-828-3007",
"fax_number": "518-828-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTON",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "031422-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00655436",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.