Dale E Brum, D.D.S. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2616 Issued in WV

Legal business name

DALE E BRUM, D.D.S. INC.

Practice address

930 Avery St
Parkersburg, WV 26101-4725

Phone

(304) 428-1151

Fax

(304) 428-0082

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dale Eric Brum, D.D.S.NPI 1306886445

Title

President

Phone

(304) 428-1151

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Dale Eric Brum, DDS

  • Dentist
  • Parkersburg, WV
  • NPI 1306886445
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1043329402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 AVERY ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014725",
            "telephone_number": "304-428-1151",
            "fax_number": "304-428-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 AVERY ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014725",
            "telephone_number": "304-428-1151",
            "fax_number": "304-428-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE E BRUM, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "BRUM",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-428-1151",
        "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": "2616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER  ID #",
            "identifier": "000142132",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D Austin Rehl DDS Peter E Lovejoy DDS and Jarek S Atwood DDS, PLLC
• Casey Daggett
• Cathy Anne Dailey, DO
• Molly Dailey
• Shannon Dailey
• Katherine Damalas
• Wayne Daniel
• Amy Darnold, RPH
• Sireesha Dasari, MD
• Amy Daub

• General Practice Dentistry in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.