DR. FREDERICK SPUTH (NPI# 1114093697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114093697 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK SPUTH |
| Credential | DDS |
| Practice Address |
2501 Cason St Lafayette IN 47904-2806 |
| Practice Telephone | 7654477505 |
| Practice Fax Number | 7654477506 |
| Mailing Telephone | 7654477505 |
| Mailing Fax Number | 7654477506 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12007520A | IN | Dental Providers |
| Street Address |
2501 CASON ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811323751 | Stephen Powell | Dentist | 2501 Cason St, Lafayette, IN 47904-2806 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811323751 | Stephen Powell | Dentist | 2501 Cason St, Lafayette, IN 47904-2806 | 2013-09-24 |
| 1497027239 | Brian Carl Leypoldt | Dentist | 110 Old Laramie Trl # 105, Lafayette, CO 80026-7010 | 2012-02-08 |
| 1013173418 | Jon Ester Sammann | Dentist | 895 Moraga Rd Ste 9, Lafayette, CA 94549-5046 | 2008-08-05 |
| 1225254618 | Stainslaus Jean Waguespack | Dentist | 301 Rue Beauregard, Lafayette, LA 70508-8520 | 2007-04-17 |
| 1629292602 | George Reyes Catambay | Dentist | 949 Oakview Circle, Lafayette, CA 94549 | 2007-04-12 |
| 1578687133 | Thomas O. Burns | Dentist | 1209 Winthrop Ave, Lafayette, IN 47909-2420 | 2007-03-19 |
| 1790818524 | Richard H Maness | Dentist | 202 Feu Follet Rd, Lafayette, LA 70508 | 2007-03-13 |
| 1154486579 | Donald B. Balhoff | Dentist | 3909-e Ambassador Caffery Pkwy., Lafayette, LA 70503-5236 | 2006-12-26 |
| 1235206541 | John Creighter Daire | Dentist | 858 Kaliste Saloom Rd, A, Lafayette, LA 70508 | 2006-11-29 |
| 1134217755 | Guthrie Poorman Carr | Dentist | 4900 Us 231 South, Lafayette, IN 47909-3443 | 2006-10-10 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.