ZACHARY MICHAEL MUTTER
NPI 1548956980
Dentist - General Practice in Shreveport, LA
About Zachary Michael Mutter NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY MICHAEL MUTTER (NPI 1548956980) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (7611) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zachary Michael Mutter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Zachary Mutter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Overland Park, KS 66210
- Reassigned Medicare billing, Missouri enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Zachary Mutter's NPI number?
The NPI number for Zachary Mutter is 1548956980. It was assigned to this individual provider in the NPPES registry on April 17, 2023.
Where is Zachary Mutter located?
Zachary Mutter practices at 910 Bert Kouns Industrial Loop, Shreveport, LA 71118. The listed phone number is (318) 686-7470.
What is Zachary Mutter's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Zachary Mutter enrolled in Medicare?
Yes. Zachary Mutter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Zachary Mutter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Mutter reassigns Medicare benefits to Aria Dental Care PC (Overland Park, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Mutter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zachary Mutter accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Zachary Mutter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Zachary Mutter was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Zachary Michael Mutter · NPI 1548956980
General Practice provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 17, 2023.
## Identity
- **NPI:** 1548956980 (Entity type: Individual)
- **Enumerated:** April 17, 2023
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 7611 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 910 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118-3410
- **Phone:** (318) 686-7470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Aria Dental Care PC (NPI 1942977632, Overland Park, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548956980) · Data from the CMS NPPES public registry.