Organization Active NPI

Gerard a Veltri DDS Inc

  • General Practice Dentistry
  • Clarksburg, WV
National Provider Identifier
1376619767
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2829 Issued in WV
Legal business name
GERARD A VELTRI DDS INC
Practice address
222 Court St
Clarksburg, WV 26301-2906
Phone
(304) 622-8001
Fax
(304) 622-0619
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Dr. Gerard A Veltri, D.D.S.NPI 1255336095
Title
Owner
Phone
(304) 622-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2829 WV Primary
Dental Clinic/Center 261QD0000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

222 Court St
Clarksburg, WV 26301-2906

Mailing address

222 Court St
Clarksburg, WV 26301-2906
Phone (304) 622-8001

Other practice location 1

300 W Main St Ste 3
Bridgeport, WV 26330-1751
Phone (681) 661-6505

Other identifiers 1

IdentifierTypeStateIssuer
0132535000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210318002941 WV DME Supplier - Sleep Laboratory/Medicine 3072920032 Practice locations: Clarksburg, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gerard a. Veltri, DDS Inc222 Court St, Clarksburg, WV 26301-2906(304) 622-8001 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated) Does not accept assignmentParticipating since Mar 15, 2021

National Provider Directory

National Provider Directory

Locations

300 W Main St
Ste 3
Bridgeport, WV 26330
Phone (681) 661-6505

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1376619767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 COURT ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012906",
            "telephone_number": "304-622-8001",
            "fax_number": "304-622-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 COURT ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012906",
            "telephone_number": "304-622-8001",
            "fax_number": "304-622-0619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263301751",
            "country_code": "US",
            "telephone_number": "681-661-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERARD A VELTRI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "VELTRI",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-622-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2829",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132535000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.