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DR. DWIGHT W RASTETTER DDS
NPI 1700951209
Dentist - General Practice in Des Moines, IA

Active since November 21, 2006Opted out of Medicare · through Jan 3, 2027
6128 DOUGLAS AVE, DES MOINES, IA 50322(515) 270-6809(515) 270-4959 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dwight W Rastetter Dds NPPES

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

DR. DWIGHT W RASTETTER DDS (NPI 1700951209) is an individual general practice provider in Des Moines, Iowa, licensed in Iowa (8061) and active in the NPI registry since November 2006. He has opted out of Medicare through January 3, 2027.

NPPES Registry Identity

NPI1700951209
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DWIGHT W RASTETTERCredential: DDS
Location Address6128 DOUGLAS AVEDes Moines, IA 50322
Mailing Address6128 Douglas AveDes Moines, IA 50322 · (515) 270-6809 · Fax (515) 270-4959
Phone(515) 270-6809
Fax(515) 270-4959
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1700951209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 8061
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.
Also ListedDentistTaxonomy 122300000X · License 8061 (IA)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dwight W Rastetter Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2023 through January 3, 2027.

Opt-Out Effective DateJanuary 3, 2023
Opt-Out In Effect ThroughJanuary 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50322 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RASTETTER DENTAL PC
Dentist (General Practice)
6128 DOUGLAS AVE, DOUGLAS DENTAL PC
DES MOINES, IA 50322
Polk County (515) 270-6809

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 Dwight Rastetter's NPI number?

The NPI number for Dwight Rastetter is 1700951209. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Dwight Rastetter located?

Dwight Rastetter practices at 6128 Douglas Ave, Des Moines, IA 50322. The listed phone number is (515) 270-6809.

What is Dwight Rastetter's specialty?

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

Is Dwight Rastetter enrolled in Medicare?

No. Dwight Rastetter has opted out of Medicare through January 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Dwight Rastetter accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Iowa and Florida Combined Life and 2 other insurers list Dwight Rastetter 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 Dwight Rastetter was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.