Individual provider Active NPI

Michael Werth, DDS

  • General Practice Dentistry
  • Charlotte Amalie, VI
National Provider Identifier
1417099268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
427 Issued in VI
Practice address
1854 Hus Government Hill
Charlotte Amalie, VI 00802
Phone
(340) 774-1343
Fax
(340) 714-1978
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 427 VI Primary

Addresses

Primary practice location

1854 Hus Government Hill
Charlotte Amalie, VI 00802

Mailing address

PO Box 6035
St Thomas, VI 00804-6035
Phone (340) 774-1343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130624000313 VI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597904557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417099268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6035",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008046035",
            "telephone_number": "340-774-1343",
            "fax_number": "340-714-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 HUS GOVERNMENT HILL",
            "city": "CHARLOTTE AMALIE",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-774-1343",
            "fax_number": "340-714-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VI",
            "license": "427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Amalie, VI

Sources for this page

Verify at the official NPI Registry.