Active NPI
Tabitha Leigh Justice, DDS
- General Practice Dentistry
- Parkersburg, WV
National Provider Identifier
1104145648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3903
- Practice address
- 1401 Blizzard Drive
Parkersburg, WV 26101-6422 - Phone
- (304) 420-0922
- Fax
- (304) 420-0924
- NPI assigned
- May 24, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3903 | WV | Primary |
Addresses
Primary practice location
1401 Blizzard Drive
Parkersburg, WV 26101-6422
Mailing address
1401 Blizzard Dr
Parkersburg, WV 26101-6422
Phone (304) 420-0922
Other names 1
- Ms. Tabitha Leigh Haun
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 |
|---|---|---|---|
| 3903 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justice Family Dentistry PLLC | General Practice | Current | Accepting new patients |
| Jason M. Roush D.D.S. Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- New Martinsville, WV
- NPI 1922813377
-
- General Practice Dentistry
- Parkersburg, WV
- NPI 1033131537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1104145648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 BLIZZARD DR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261016422",
"telephone_number": "304-420-0922",
"fax_number": "304-420-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 BLIZZARD DRIVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261016422",
"telephone_number": "304-420-0922",
"fax_number": "304-420-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "TABITHA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "3903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TABITHA",
"last_name": "HAUN",
"middle_name": "LEIGH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.