Individual provider Active NPI

Steven Davis Lutz II, DDS

  • Dentist
  • Tazewell, VA
National Provider Identifier
1649532896
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413638 Issued in VA
Practice address
215 N Central Ave
Tazewell, VA 24651-1005
Phone
(276) 988-4549
Fax
(276) 988-4186
NPI assigned
Jun 13, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413638 VA Primary

Addresses

Primary practice location

215 N Central Ave
Tazewell, VA 24651-1005

Mailing address

215 N Central Ave
Tazewell, VA 24651-1005
Phone (276) 988-4549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160309001588 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5890091383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401413638VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven D Lutz DDS, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1649532896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N CENTRAL AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246511005",
            "telephone_number": "276-988-4549",
            "fax_number": "276-988-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N CENTRAL AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246511005",
            "telephone_number": "276-988-4549",
            "fax_number": "276-988-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "STEVEN",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, VA

Sources for this page

Verify at the official NPI Registry.