Individual provider Active NPI

Andrew Paul Minigh, DDS

  • General Practice Dentistry
  • Shinnston, WV
National Provider Identifier
1114176997
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3819 Issued in WV
Practice address
407 S Pike St
Shinnston, WV 26431-1125
Phone
(304) 592-0600
NPI assigned
Sep 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3819 WV Primary

Addresses

Primary practice location

407 S Pike St
Shinnston, WV 26431-1125

Mailing address

407 S Pike St
Shinnston, WV 26431-1125
Phone (304) 592-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20170314001202 WV Practitioner - Dentist 8325328412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3819WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Minigh DDS of Glenville Inc General Practice CurrentSince Dec 18, 2016 Accepting new patients
Andrew P Minigh General Practice Past Accepting new patients
Minigh Inc. PastSince Dec 15, 2014 Accepting new patients

Locations

809 Mineral Rd
Glenville, WV 26351
Phone (304) 462-5708

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1114176997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S PIKE ST",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311125",
            "telephone_number": "304-592-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S PIKE ST",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311125",
            "telephone_number": "304-592-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIGH",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shinnston, WV

Sources for this page

Verify at the official NPI Registry.