Active NPI
Dustin James Getz, DDS
- Dentist
- Nutter Fort, WV
National Provider Identifier
1215290481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4002
- Practice address
- 200 Route 98 Medwood Plaza
Suite 302
Nutter Fort, WV 26301 - Phone
- (304) 622-5711
- Fax
- (304) 622-6001
- NPI assigned
- Jun 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039120 | PA | |
| Dentist | 122300000X | 4002 | WV | Primary |
Addresses
Primary practice location
200 Route 98 Medwood Plaza
Suite 302
Nutter Fort, WV 26301
Mailing address
200 Route 98 Medwood Plaza
Suite 302
Nutter Fort, WV 26301
Phone (304) 622-5711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 17, 2015 through Dec 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039120 | PA | MD | Dentist |
| 4002 | WV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215290481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ROUTE 98 MEDWOOD PLAZA",
"address_2": "SUITE 302",
"city": "NUTTER FORT",
"state": "WV",
"postal_code": "26301",
"telephone_number": "304-622-5711",
"fax_number": "304-622-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ROUTE 98 MEDWOOD PLAZA",
"address_2": "SUITE 302",
"city": "NUTTER FORT",
"state": "WV",
"postal_code": "26301",
"telephone_number": "304-622-5711",
"fax_number": "304-622-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GETZ",
"first_name": "DUSTIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039120",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutter Fort, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.