Individual provider Active NPI

Steven Jason Hutchens, DDS

  • Dentist
  • Inwood, WV
National Provider Identifier
1790048247
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3992 Issued in WV
Practice address
372 Middleway Pike
Suite a
Inwood, WV 25428-3909
Phone
(304) 229-5851
Fax
(304) 229-0666
NPI assigned
Jun 20, 2012
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3992 WV Primary

Addresses

Primary practice location

372 Middleway Pike
Suite a
Inwood, WV 25428-3909

Mailing address

372 Middleway Pike
Suite a
Inwood, WV 25428
Phone (304) 229-5851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20160603000090 WV Order and Referring Only - DentistPractitioner - Dentist 9638469620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Bonner Dentist PastSince Jul 24, 2022 Accepting new patients
Matthew Lee Miller Past Accepting new patients

Organizations & group practices 2

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1790048247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MIDDLEWAY PIKE",
            "address_2": "SUITE A",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "25428",
            "telephone_number": "304-229-5851",
            "fax_number": "304-229-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 MIDDLEWAY PIKE",
            "address_2": "SUITE A",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254283909",
            "telephone_number": "304-229-5851",
            "fax_number": "304-229-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHENS",
        "first_name": "STEVEN",
        "middle_name": "JASON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inwood, WV

Sources for this page

Verify at the official NPI Registry.