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ZACHARY MICHAEL MUTTER
NPI 1548956980
Dentist - General Practice in Shreveport, LA

Active since April 17, 2023PECOS Enrolled
910 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118(318) 686-7470 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1548956980
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameZACHARY MICHAEL MUTTER
Location Address910 BERT KOUNS INDUSTRIAL LOOPShreveport, LA 71118-3410
Mailing Address24 Duck Haven PtBossier City, LA 71111-8173 · (314) 249-6557
Phone(318) 686-7470
Sole ProprietorYes
Enumeration DateApril 17, 2023
Last NPPES UpdateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1548956980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 7611
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
910 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Michael Mutter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. KATIE MELANCON BEACH DDS
Dentist
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-7470
ANNA LEIGHTON HASTINGS DMD
Dentist
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-7470
DR. TIMOTHY NATHANIEL TATE D.D.S
Dentist (General Practice)
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-7470
DR. BENJAMIN AMES BEACH D.D.S.
Dentist
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-7470
DR. DAVID WISCHOFF DDS
Dentist (General Practice)
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-7470
DR. MICHAEL CHRISTOPHER HAYDEL DDS
Dentist
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-7470
ROSS H DIES DDS AND J CODY COWEN DDS A DENTAL LLC
Clinic/Center
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-7470
DR. ROSS HENRY DIES DDS
Dentist (General Practice)
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-7470

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.

What insurance does Zachary Mutter accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and BEST Life and 10 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 14 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.