Eric Landen Tutt, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D9630 Issued in OR

Practice address

1436 Molalla Ave
Oregon City, OR 97045-4004

Phone

(503) 722-1100

NPI assigned

Jul 26, 2011

Sex

Male

Sole proprietor

No

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 OR

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

State licenses

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.

• Hilltop Smiles, PC

  • General Practice Dentistry
  • Oregon City, OR
  • NPI 1922369990
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427500800000",
    "number": "1831477751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454004",
            "telephone_number": "503-722-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454004",
            "telephone_number": "503-722-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "ERIC",
        "middle_name": "LANDEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2015-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Gelder Tucker Flores, QMHA 1, MSW INTERN
• Cory Dean Tucker, CRM-PSS
• Stephanie Dawn Tucker, MA, MBA
• Jessica Ann Turner
• Joyce G Turrentine
• Helena Lin Tzou, OD
• Uptown Providers PC
• Cindy Valenzuela
• Van a. Han DMD LLC
• Isabelle Van Der Smissen

• Dentist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2015; 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.