Organization Active NPI

Sokolosky and Weaver DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Charleston, WV
National Provider Identifier
1124129937
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2578-78 Issued in WV
Legal business name
SOKOLOSKY AND WEAVER DDS INC
Practice address
869 Oakwood Rd
Charleston, WV 25314-2057
Phone
(304) 343-5161
Fax
(304) 343-5205
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Sokolosky Jr., DDSNPI 1720090517
Title
President
Phone
(304) 343-5161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2578-78 WV Primary

Addresses

Primary practice location

869 Oakwood Rd
Charleston, WV 25314-2057

Mailing address

869 Oakwood Rd
Charleston, WV 25314-2057
Phone (304) 343-5161

Other identifiers 1

IdentifierTypeStateIssuer
3810005761MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124129937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 OAKWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142057",
            "telephone_number": "304-343-5161",
            "fax_number": "304-343-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 OAKWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142057",
            "telephone_number": "304-343-5161",
            "fax_number": "304-343-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOKOLOSKY AND WEAVER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOKOLOSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-343-5161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "2578-78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005761",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.