Organization Active NPI

Rominger Dental

  • Dental Clinic/Center
  • Bridgeport, WV
National Provider Identifier
1174046122
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROMINGER DENTAL
Practice address
20 Shaner Dr Ste 108
Bridgeport, WV 26330-2506
Phone
(304) 842-2375
NPI assigned
Jul 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Dr. Jaclyn Elsey Rominger, DDSNPI 1265661060
Title
Owner/Dentist
Phone
(304) 677-9429

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20 Shaner Dr Ste 108
Bridgeport, WV 26330-2506

Mailing address

20 Shaner Dr Ste 108
Bridgeport, WV 26330-2506

National Provider Directory

National Provider Directory

Locations

20 Shaner Dr
Ste 108
Bridgeport, WV 26330
Phone (304) 694-7496

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": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1174046122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SHANER DR STE 108",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263302506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SHANER DR STE 108",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263302506",
            "telephone_number": "304-842-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMINGER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "ROMINGER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "ELSEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "304-677-9429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.