Individual provider Active NPI

Johnathon Joseph Hale, DDS

  • General Practice Dentistry
  • Oak Hill, WV
National Provider Identifier
1144455585
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WV3858 Issued in WV
Practice address
400 Virginia Street
Oak Hill, WV 25901
Phone
(304) 465-5361
Fax
(681) 823-4107
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3858 WV
General Practice Dentistry 1223G0001X WV3858 WV Primary

Addresses

Primary practice location

400 Virginia Street
Oak Hill, WV 25901

Mailing address

400 Virginia Street
Oak Hill, WV 25901
Phone (304) 465-5361

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

LicenseStateTypeSpecialty
3858WVMDGeneral Practice Dentistry
WV3858WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roger D. Clay, D.D.S.,Inc General Practice Past Accepting new patients
Matthew P. McGinnis, DDS, PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1144455585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VIRGINIA STREET",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "25901",
            "telephone_number": "304-465-5361",
            "fax_number": "681-823-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VIRGINIA STREET",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "25901",
            "telephone_number": "304-465-5361",
            "fax_number": "681-823-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "JOHNATHON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3858",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV3858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.