NPIMap

Organization Active NPI

West Virginia Universtiy Dental Corporation

  • Dentist
  • Morgantown, WV
National Provider Identifier
1114367695
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST VIRGINIA UNIVERSTIY DENTAL CORPORATION
Practice address
451/453 Suncrest Town Centre Drive
Morgantown, WV 26505
Phone
(304) 293-2240
Fax
(304) 293-7646
NPI assigned
Jun 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Diane Hess
Title
Manager, Dental Billing
Phone
(304) 293-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

451/453 Suncrest Town Centre Drive
Morgantown, WV 26505

Mailing address

PO Box 1587
Morgantown, WV 26507-1587
Phone (304) 293-6129

National Provider Directory

National Provider Directory
Tax ID family
Uha Dental4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1114367695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1587",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265071587",
            "telephone_number": "304-293-6129",
            "fax_number": "304-293-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451/453 SUNCREST TOWN CENTRE DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-293-2240",
            "fax_number": "304-293-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA UNIVERSTIY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MANAGER, DENTAL BILLING",
        "authorized_official_telephone_number": "304-293-2240"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.