Active NPI
Jacqueline Tuthill, DDS
- Pediatric Dentistry
- Erie, PA
National Provider Identifier
1871911362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS040733
- Practice address
- 5125 Zuck Rd
Erie, PA 16506-4941 - Phone
- (814) 455-2158
- NPI assigned
- Apr 1, 2014
- Last updated
- Apr 26, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS040733 | PA | Primary |
Addresses
Primary practice location
5125 Zuck Rd
Erie, PA 16506-4941
Mailing address
5125 Zuck Rd
Erie, PA 16506-4941
Phone (814) 455-2158
Other practice location 1
Geisinger Medical Ctr
100 North Academy Avenue
Danville, PA 17822-0001
Phone (570) 271-6211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210000339 | PA | Order and Referring Only - Other (Physician) | 0547564692 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040733 | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1871911362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 ZUCK RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165064941",
"telephone_number": "814-455-2158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 ZUCK RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165064941",
"telephone_number": "814-455-2158"
}
],
"practiceLocations": [
{
"address_1": "Geisinger Medical Ctr",
"address_2": "100 North Academy Avenue",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178220001",
"country_code": "US",
"telephone_number": "570-271-6211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUTHILL",
"first_name": "JACQUELINE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS040733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
- Steven R Turley, M.D.
- Christine Louise Turner, PA-C
- Janann Turner, PT
- Frank Mark Tursi, DO
- Heidi Marie Tuszynski, LPC
- Jacob Tuttle
- Twinbrook Medical Center-Erie PA LLC (ManorCare Health Services-Erie)
- Twinbrook Opco, LLC (Twinbrook Healthcare and Rehabilitation Center)
- Ty's Daycare & Pre K Center Inc. (Ty's Healthy Healers)
- Larae Tymochko, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.