Active NPI
Samantha L Phelix, DDS
- General Practice Dentistry
- Inwood, WV
National Provider Identifier
1003592346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4633
- Practice address
- 4325 Gerrardstown Rd
Inwood, WV 25428-3449 - Phone
- (304) 229-2181
- Fax
- (304) 229-2291
- NPI assigned
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4633 | WV | Primary |
Addresses
Primary practice location
4325 Gerrardstown Rd
Inwood, WV 25428-3449
Mailing address
4325 Gerrardstown Rd
Inwood, WV 25428-3449
Phone (304) 229-2181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4633 | WV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1003592346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 GERRARDSTOWN RD",
"city": "INWOOD",
"state": "WV",
"postal_code": "254283449",
"telephone_number": "304-229-2181",
"fax_number": "304-229-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 GERRARDSTOWN RD",
"city": "INWOOD",
"state": "WV",
"postal_code": "254283449",
"telephone_number": "304-229-2181",
"fax_number": "304-229-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELIX",
"first_name": "SAMANTHA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inwood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.