Oxana Kim Sutalo

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

4431 68TH St., US Army Dental Activity
Fort Hood, TX 76544

Phone

(254) 287-2705

NPI assigned

Jun 27, 2016

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1962853481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 68TH ST., US ARMY DENTAL ACTIVITY",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 68TH ST., US ARMY DENTAL ACTIVITY",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM SUTALO",
        "first_name": "OXANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Siobhan Kesselring, RD LD
• Hooshang Khoshnevis-Yazdi, M.D.
• Sarah Kiernan
• April Dawn Killman, AUD
• Matthew J Kilroe, DO
• Esther Diann King, RN
• Jesse King, PA-C
• Martin William Kinnison, MD
• Marty S Kirkes, RN
• Cathy Klingenberg, RN

• Dental Assistant in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Dental Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.