Ronald J Haggerty, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2119 Issued in WV

Practice address

Lincoln Street
Fort Ashby, WV 26719

Phone

(304) 298-3501

Fax

(304) 298-3406

NPI assigned

Sep 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063515302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267191060",
            "telephone_number": "304-298-3501",
            "fax_number": "304-298-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LINCOLN STREET",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "26719",
            "telephone_number": "304-298-3501",
            "fax_number": "304-298-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135226000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Zea Getz
• Cathy Lorraine Getz
• Amy Gracik
• Christopher Thomas Gulbronson
• Ashley Lynne Haddix, PHARMD
• Tracey Lynn Hoblitzell, HIS
• Mary E Jacobson, LPC CCAC
• Melissa Lynn Jessen
• Erin Q King, COTA
• Elizabeth Renee Lynn Kinsall

• General Practice Dentistry in Fort Ashby, WV
• Providers in Fort Ashby, 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 Jul 8, 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.