Individual provider Active NPI

Angela Nicole Stowers, DDS

  • General Practice Dentistry
  • Nitro, WV
National Provider Identifier
1063038677
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4466 Issued in WV
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

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.