Active NPI
Michael Adu-Tutu, DDS
- Dentist
- Fort Pierce, FL
National Provider Identifier
1952362931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10216
- Practice address
- 714 Avenue C
Fort Pierce, FL 34950-4189 - Phone
- (772) 462-3874
- Fax
- (772) 462-3880
- NPI assigned
- Mar 30, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D2934 | AZ | |
| Dentist | 122300000X | DN10216 | FL | Primary |
| Dentist | 122300000X | 56698 | CA | |
| Dentist | 122300000X | DS0000004304 | TN |
Addresses
Primary practice location
714 Avenue C
Fort Pierce, FL 34950-4189
Mailing address
5150 NW Milner Dr
Port St Lucie, FL 34983-3392
Phone (772) 462-3874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83600 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D2934 | AZ | MD | Dentist |
| 56698 | CA | MD | Dentist |
| DN10216 | FL | MD | Dentist |
| DS0000004304 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1952362931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 NW MILNER DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349833392",
"telephone_number": "772-462-3874",
"fax_number": "772-462-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 AVENUE C",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504189",
"telephone_number": "772-462-3874",
"fax_number": "772-462-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADU-TUTU",
"first_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D2934",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN10216",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56698",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000004304",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83600",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
- Wenisha Adams
- Natissia Lashonda Adderley, LPN
- Timothy H Adderley
- Steven M Adler, M.D.
- Adnan Shariff DPM PLLC
- Advanced Care Emergi-Center & Occupational Health Clinic Inc
- Advanced Care Pain Management Center, Inc.
- Advanced Care Pediatrics of Florida, LLC
- Advanced Care Pediatrics, Inc.
- Advanced Diagnostic Assessments & Psychotherapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.