DR. JUSTIN EDWARD OTTEN D.D.S.
NPI 1659419273
Dentist - General Practice in Wyoming, MI

Active since February 03, 2007PECOS Enrolled
2255 LEE ST SW, WYOMING, MI 49519(616) 532-0501(616) 532-0501 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Justin Edward Otten D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN EDWARD OTTEN D.D.S. (NPI 1659419273) is an individual general practice provider in Wyoming, Michigan, licensed in Michigan (2901012543) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659419273
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUSTIN EDWARD OTTENCredential: D.D.S.
Location Address2255 LEE ST SWWyoming, MI 49519-1670
Mailing Address2255 Lee St SwWyoming, MI 49519-1670 · (616) 532-0501 · Fax (616) 532-0501
Fax(616) 532-0501
Sole ProprietorYes
Enumeration DateFebruary 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1659419273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901012543
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2255 LEE ST SW, Wyoming, MI 49519

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Justin Edward Otten D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Otten's NPI number?

The NPI number for Justin Otten is 1659419273. It was assigned to this individual provider in the NPPES registry on February 3, 2007.

Where is Justin Otten located?

Justin Otten practices at 2255 Lee St SW, Wyoming, MI 49519. The listed phone number is (616) 532-0501.

What is Justin Otten's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Justin Otten enrolled in Medicare?

Yes. Justin Otten is registered in the Medicare PECOS enrollment system.

What insurance does Justin Otten accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Justin Otten as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Otten was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.