Chad Michael Paterra, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9861 Issued in NC

Practice address

409 Penny LN
Weirton, WV 26062-3260

Phone

(304) 670-9637

NPI assigned

Jul 9, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1083055974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PENNY LN",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623260",
            "telephone_number": "304-670-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PENNY LN",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623260",
            "telephone_number": "304-670-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERRA",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4065",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardev Singh Parihar, MD
• Megan Marie Paris, MSW, LGSW
• Raelynn Paris, FNP-BC
• John Joseph Pasquarella, CRNA
• Wesley Pate, DDS
• Patience & Care Homecare Solutions LLC
• Patrick G. Rosario,MD
• Carol Lynn Patrick, RN
• Larry M. Patrick, LICSW
• Judith Patton

• General Practice Dentistry in Weirton, WV
• Providers in Weirton, 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 Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.