Active NPI
T Shaun Sutherland, DDS
- Dentist
- Casper, WY
National Provider Identifier
1811904048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 879
- Practice address
- 1653 E 2ND St
Casper, WY 82601 - Phone
- (307) 274-6033
- Fax
- (307) 234-6053
- NPI assigned
- Aug 1, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 879 | WY | Primary |
Addresses
Primary practice location
1653 E 2ND St
Casper, WY 82601
Mailing address
1653 E 2ND St
Casper, WY 82601
Phone (307) 274-6033
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 |
|---|---|---|---|
| 879 | WY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Shaun Sutherland, DDS | Current | Accepting new patients | |
| Ruma R Novotny DDS PC | Past | Accepting new patients |
Locations
1653 E 2nd St
Casper, WY 82601
Phone (307) 234-6033
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
- Casper, WY
- NPI 1093340994
-
- Dental Clinic/Center
- Casper, WY
- NPI 1346950797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811904048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "82601",
"telephone_number": "307-274-6033",
"fax_number": "307-234-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "82601",
"telephone_number": "307-274-6033",
"fax_number": "307-234-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "T",
"middle_name": "SHAUN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
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.