Individual provider Active NPI

Alexander Daniele

  • General Practice Dentistry
  • Beckley, WV
National Provider Identifier
1013405539
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4425 Issued in WV
Practice address
114 Beckley PLZ
Beckley, WV 25801-2221
Phone
(304) 253-0506
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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 4425 WV Primary

Addresses

Primary practice location

114 Beckley PLZ
Beckley, WV 25801-2221

Mailing address

122 Bennett Rd
Mount Hope, WV 25880-9468
Phone (619) 822-3884

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

LicenseStateTypeSpecialty
4425WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Plaza Dental PLLC General Practice CurrentSince Dec 24, 2024 Accepting new patients
Shasta Community Health Center Past Accepting new patients
Greg T Harvey DDS Inc PastSince Jan 19, 2020 Accepting new patients

Locations

114 Beckley Plz
Beckley, WV 25801
Phone (304) 228-1334

Interoperability endpoints

  • Direct secure messaging: alexander.daniele@wvafn.hcadirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1013405539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BENNETT RD",
            "city": "MOUNT HOPE",
            "state": "WV",
            "postal_code": "258809468",
            "telephone_number": "619-822-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BECKLEY PLZ",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012221",
            "telephone_number": "304-253-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELE",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.