Ethan Lafferty, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ETHAN LAFFERTY, DDS, PLLC

Practice address

1321 Stadium Dr
Bluefield, WV 24701-3318

Phone

(304) 327-7135

Fax

(304) 327-0758

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ethan Shamus Lafferty, DDSNPI 1285087494

Title

Owner

Phone

(304) 327-7135

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethan Shamus Lafferty, DDS

  • Dentist
  • Bluefield, WV
  • NPI 1285087494
  NPD Authorized official
• Harold Lee Goforth Jr., D.D.S.

  • General Practice Dentistry
  • Bluefield, WV
  • NPI 1669579728

  General Practice

  NPD (past)

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1104605989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 STADIUM DR",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013318",
            "telephone_number": "304-327-7135",
            "fax_number": "304-327-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 STADIUM DR",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013318",
            "telephone_number": "304-327-7135",
            "fax_number": "304-327-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN LAFFERTY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "LAFFERTY",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "SHAMUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-327-7135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leona M Endicott
• James Epperson
• Robert Alexander Ercoline Jr., MA, MS
• Walter Estep Jr.
• Montessa Esters
• Excel Prosthetics & Orthotics, Inc.
• Family Eye Health Care Clinic PLLC
• Sean Farmer
• Taryn Farmer
• Harvey J Feld, M.D. (RETIRED)

• All providers in Bluefield, WV
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.