Dennis Richard Niess, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12719 Issued in WV

Practice address

20 Medical Park
Suite 306
Wheeling, WV 26003-6390

Phone

(304) 243-7030

Fax

(304) 243-4282

NPI assigned

Aug 9, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184625691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL PARK",
            "address_2": "SUITE 306",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036390",
            "telephone_number": "304-243-7030",
            "fax_number": "304-243-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL PARK",
            "address_2": "SUITE 306",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036390",
            "telephone_number": "304-243-7030",
            "fax_number": "304-243-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESS",
        "first_name": "DENNIS",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "12719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BWC",
            "identifier": "55068028400",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF UPPER OH V",
            "identifier": "12719D",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0530027",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sorin N Nica, MD
• Christopher Cory Nicely, M.D.
• Brittney Nicole Nichol, BSW
• Melinda Nicholes, FNP-BC
• Jennifer M. Nick
• Moesha Marie Nightengale
• Senteria Eugenia Nightengale
• Edward Joseph Nolan III, RN
• Jennifer Ruth Nolan
• Breanne Marie Norman, MA

• Family Medicine Physician in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.