Active NPI
Casey D Cutler, DDS
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1821545500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10158
- Practice address
- 3048 E Baseline Rd Ste 128
Mesa, AZ 85204-7288 - Phone
- (480) 820-6080
- NPI assigned
- Sep 9, 2016
- Last updated
- Sep 10, 2019
- 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 | 10158 | AZ | Primary |
Addresses
Primary practice location
3048 E Baseline Rd Ste 128
Mesa, AZ 85204-7288
Mailing address
3048 E Baseline Rd Ste 128
Mesa, AZ 85204-7288
Phone (480) 820-6080
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D3C Dental,PLC | Current | Accepting new patients | |
| White Mountain Dental | General Practice | Past | Accepting new patients |
Locations
3048 E Baseline Rd
Ste 128
Mesa, AZ 85204
Phone (480) 820-6080
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health Dentistry
- Mesa, AZ
- NPI 1053969568
-
- General Practice Dentistry
- Rock Springs, WY
- NPI 1497988356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1821545500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 E BASELINE RD STE 128",
"city": "MESA",
"state": "AZ",
"postal_code": "852047288",
"telephone_number": "480-820-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 E BASELINE RD STE 128",
"city": "MESA",
"state": "AZ",
"postal_code": "852047288",
"telephone_number": "480-820-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLER",
"first_name": "CASEY",
"middle_name": "D",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-09",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "10158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.