Elwin R Hutchins, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28867 Issued in CA

Practice address

100 N Palm St
Woodlake, CA 93286-1423

Phone

(559) 564-8878

Fax

(559) 564-3507

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

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

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902959513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PALM ST",
            "city": "WOODLAKE",
            "state": "CA",
            "postal_code": "932861423",
            "telephone_number": "559-564-8878",
            "fax_number": "559-564-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PALM ST",
            "city": "WOODLAKE",
            "state": "CA",
            "postal_code": "932861423",
            "telephone_number": "559-564-8878",
            "fax_number": "559-564-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "ELWIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foothill Pharmacy Inc. (Jerry's Drug)
• Paris Marie Gonzalez
• Dominic Gray
• Florencio Guerra Jr.
• Darren William Hardy, SCHOOL PSYCHOLOGIST
• Colleen Ito, O.D.
• Kaweah Delta Health Care District (Kaweah Health Woodlake Clinic)
• Kaweah Delta Health Care District (Kaweah Health Valencia Clinic)
• Ryan Keen
• Linda Li, PHARM.D.

• General Practice Dentistry in Woodlake, CA
• Providers in Woodlake, CA by specialty
• General Practice Dentistry in California

• 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.
• 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.