Active NPI
Angela Nicole Stowers, DDS
- General Practice Dentistry
- Nitro, WV
National Provider Identifier
1063038677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4466
- Practice address
- 2601 1St Ave
Nitro, WV 25143-1713 - Phone
- (304) 759-8292
- NPI assigned
- Jun 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4466 | WV | Primary |
Addresses
Primary practice location
2601 1St Ave
Nitro, WV 25143-1713
Mailing address
274 Williams Rd
Kenna, WV 25248-6541
Phone (304) 514-9584
Other practice location 1
100 Florida St
Charleston, WV 25302-1131
Phone (304) 348-6613
Other practice location 2
38924 Coal River Rd
Whitesville, WV 25209
Phone (304) 854-2110
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabin Creek Health Center, Inc. | Past | Accepting new patients | |
| Ronald Andrew Dickens, D.D.S., Inc | Past | Accepting new patients | |
| Kennedy Dental Office | General Practice | Past | Accepting new patients |
Interoperability endpoints
- angela.stowers.1@7267.direct.athenahealth.com
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.
-
dba Westside Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1194596759
-
- General Practice Dentistry
- Whitesville, WV
- NPI 1033270970
-
- Dentist
- Whitesville, WV
- NPI 1649646191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1063038677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 WILLIAMS RD",
"city": "KENNA",
"state": "WV",
"postal_code": "252486541",
"telephone_number": "304-514-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 1ST AVE",
"city": "NITRO",
"state": "WV",
"postal_code": "251431713",
"telephone_number": "304-759-8292"
}
],
"practiceLocations": [
{
"address_1": "100 Florida St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253021131",
"country_code": "US",
"telephone_number": "304-348-6613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "38924 Coal River Rd",
"address_purpose": "LOCATION",
"city": "Whitesville",
"state": "WV",
"postal_code": "25209",
"country_code": "US",
"telephone_number": "304-854-2110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOWERS",
"first_name": "ANGELA",
"middle_name": "NICOLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nitro, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.