Active NPI
Jared Lee Garrison, D.D.S.
- Dentist
- Capon Bridge, WV
National Provider Identifier
1063824142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4103
- Practice address
- HC 61 Box 303
Capon Bridge, WV 26711-9728 - Phone
- (304) 856-3200
- NPI assigned
- May 23, 2014
- Last updated
- Jun 16, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4103 | WV | Primary |
Addresses
Primary practice location
HC 61 Box 303
Capon Bridge, WV 26711-9728
Mailing address
HC 61 Box 303
Capon Bridge, WV 26711-9728
Phone (304) 856-3200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4103 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1063824142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 61 BOX 303",
"city": "CAPON BRIDGE",
"state": "WV",
"postal_code": "267119728",
"telephone_number": "304-856-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 61 BOX 303",
"city": "CAPON BRIDGE",
"state": "WV",
"postal_code": "267119728",
"telephone_number": "304-856-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "JARED",
"middle_name": "LEE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-23",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capon Bridge, WV
- Raven Leigh Conneway
- Carol Deslauriers, PTA
- Dr Norman E Wood Jr PA (Doctors Urgent Care and Family Practice)
- E. a. Hawse Health Center, Inc. (Capon Bridge Middle School)
- E. a. Hawse Health Center, Inc. (Capon Bridge Elementary School)
- Carol Getz
- Lisa K Gheen
- Stephanie Gordon, DDS
- Melvin J Hemerick, PHARM D
- Jamie Michele Huff, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.