Organization Active NPI

G. Brian Eves, D.D.S.

  • General Practice Dentistry
  • Lavalette, WV
National Provider Identifier
1023395332
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3218 Issued in WV
Legal business name
G. BRIAN EVES, D.D.S.
Practice address
4602 Route 152
Lavalette, WV 25535-9702
Phone
(304) 523-2332
Fax
(304) 523-0681
NPI assigned
Nov 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Gary Brian Eves, D.D.S.NPI 1760537591
Title
Dentist
Phone
(304) 523-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3218 WV Primary

Addresses

Primary practice location

4602 Route 152
Lavalette, WV 25535-9702

Mailing address

PO Box 599
Lavalette, WV 25535-0599
Phone (304) 523-2332

Other identifiers 1

IdentifierTypeStateIssuer
0013024000MedicaidWV

National Provider Directory

National Provider Directory

Locations

4602 Route 152
Lavalette, WV 25535
Phone (304) 523-2332

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1023395332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255350599",
            "telephone_number": "304-523-2332",
            "fax_number": "304-523-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359702",
            "telephone_number": "304-523-2332",
            "fax_number": "304-523-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. BRIAN EVES, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "EVES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-523-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013024000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavalette, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.