Individual provider Active NPI

Nasreen Dar, M.D.

  • Psychiatry Physician
  • Princeton, WV
National Provider Identifier
1164429460
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12471 Issued in WV
Practice address
6 Quail Valley Medical Ctr
200 New Hope Rd.
Princeton, WV 24740-2139
Phone
(304) 425-9471
Fax
(304) 425-2127
NPI assigned
Jun 30, 2005
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12471 WV Primary

Addresses

Primary practice location

6 Quail Valley Medical Ctr
200 New Hope Rd.
Princeton, WV 24740-2139

Mailing address

127 Kingbird Way
Princeton, WV 24740-4109
Phone (304) 487-3436

Other identifiers 2

IdentifierTypeStateIssuer
7150482MedicaidVA
0116807000MedicaidWV

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000075 WV Practitioner - Psychiatry 0042357832 Practice locations: Princeton, WV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164429460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 KINGBIRD WAY",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247404109",
            "telephone_number": "304-487-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 QUAIL VALLEY MEDICAL CTR",
            "address_2": "200 NEW HOPE RD.",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402139",
            "telephone_number": "304-425-9471",
            "fax_number": "304-425-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAR",
        "first_name": "NASREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "12471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7150482",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116807000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.