Individual provider Active NPI

Paul Gerometta, DDS

  • General Practice Dentistry
  • Strasburg, VA
National Provider Identifier
1669572269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4416 Issued in VA
Practice address
279 W Queen St
Strasburg, VA 22657-2226
Phone
(540) 465-5622
Fax
(540) 465-3285
NPI assigned
Sep 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 4416 VA Primary

Addresses

Primary practice location

279 W Queen St
Strasburg, VA 22657-2226

Mailing address

279 W Queen St
Strasburg, VA 22657-2226
Phone (540) 465-5622

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
I20160531001589 VA Order and Referring Only - DentistPractitioner - Dentist 8820388028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4416VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669572269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 W QUEEN ST",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226572226",
            "telephone_number": "540-465-5622",
            "fax_number": "540-465-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 W QUEEN ST",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226572226",
            "telephone_number": "540-465-5622",
            "fax_number": "540-465-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROMETTA",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "4416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strasburg, VA

Sources for this page

Verify at the official NPI Registry.