Organization Active NPI

Everett & Howell DDS

  • General Practice Dentistry
  • Kingwood, WV
National Provider Identifier
1073688529
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3095 Issued in WV
Legal business name
EVERETT & HOWELL DDS
Practice address
202 Tunnelton St
Suite 214
Kingwood, WV 26537-1452
Phone
(304) 329-1989
Fax
(304) 329-2550
NPI assigned
Nov 21, 2006
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Amy Everett, DDS
Title
Dentist
Phone
(304) 329-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3095 WV Primary

Addresses

Primary practice location

202 Tunnelton St
Suite 214
Kingwood, WV 26537-1452

Mailing address

202 Tunnelton St
Suite 214
Kingwood, WV 26537-1452
Phone (304) 329-1989

Other identifiers 2

IdentifierTypeStateIssuer
001428639OtherWVBLUE CROSS
3810004440MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1073688529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TUNNELTON ST",
            "address_2": "SUITE 214",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371452",
            "telephone_number": "304-329-1989",
            "fax_number": "304-329-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 TUNNELTON ST",
            "address_2": "SUITE 214",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371452",
            "telephone_number": "304-329-1989",
            "fax_number": "304-329-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT & HOWELL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-329-1989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001428639",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004440",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.