Active NPI
Philipd High, DDS., Inc
- Oral and Maxillofacial Pathology Dentistry
- Wheeling, WV
National Provider Identifier
1033132402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 2039
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902892698 | Other | WV | NPI |
| 0138210000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Pathology Dentistry
- Wheeling, WV
- NPI 1902892698
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.