Organization Active NPI

Philipd High, DDS., Inc

  • Oral and Maxillofacial Pathology Dentistry
  • Wheeling, WV
National Provider Identifier
1033132402
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
2039 Issued in WV
Legal business name
PHILIPD HIGH, DDS., INC
Practice address
1203 Mount de Chantal Rd
Wheeling, WV 26003-6332
Phone
(304) 242-5671
Fax
(304) 242-0641
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Ms. Jo Donahue
Title
Office Manager
Phone
(304) 242-0641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 2039 WV Primary

Addresses

Primary practice location

1203 Mount de Chantal Rd
Wheeling, WV 26003-6332

Mailing address

1203 Mt Dechantal Rd
Wheeling, WV 26003
Phone (304) 242-5671

Other identifiers 2

IdentifierTypeStateIssuer
1902892698OtherWVNPI
0138210000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1203 Mount de Chantal Rd
Wheeling, WV 26003
Phone (304) 242-5671

Practitioners & affiliated clinicians

Practitioners 1

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1033132402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 MT DECHANTAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-242-5671",
            "fax_number": "304-242-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 MOUNT DE CHANTAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036332",
            "telephone_number": "304-242-5671",
            "fax_number": "304-242-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIPD HIGH, DDS., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-242-0641",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WV",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902892698",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138210000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.