Keith Alan Hutchinson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN14592 Issued in FL

Practice address

2194 Drew Street
Clearwater, FL 33765-3214

Phone

(727) 462-5555

Fax

(727) 446-8382

NPI assigned

Jan 16, 2007

Last updated

Aug 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Florida Dental Centers

  • General Practice Dentistry
  • Clearwater, FL
  • NPI 1477664266
  NPD (past) Authorized official
• FL Dental Centers PLLC

  • Dentist
  • Clearwater, FL
  • NPI 1457072779
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1871645408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 CLEVELAND ST SUITE 252",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653213",
            "telephone_number": "727-461-9149",
            "fax_number": "727-446-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 DREW STREET",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653214",
            "telephone_number": "727-462-5555",
            "fax_number": "727-446-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN4592",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charisse Jeanine Huot, M.D.
• Marlin Hurry, APRN, CNM
• Jalia Denise Hurst-Smart, MSW, LCSW
• Naoko Hurvitz, APRN
• Tania Hussain, MD
• Mark Alan Hutchinson, PHARMD
• Michael Hutchinson
• Kyle Huth, COTA/L
• Bethany J Hutto, LCSW
• Lynn Hutto, FNP-C

• Dentist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.