Individual provider Active NPI

Dustin James Getz, DDS

  • Dentist
  • Nutter Fort, WV
National Provider Identifier
1215290481
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4002 Issued in WV
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DS039120PAMDDentist
4002WVMDDentist

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

Verify at the official NPI Registry.