Active NPI
Thomas Stanley
- Dentist
- Morgantown, WV
National Provider Identifier
1215643010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4573
- Practice address
- 451 Suncrest Town Centre Dr
Morgantown, WV 26505-1814 - Phone
- (304) 293-6208
- NPI assigned
- Jan 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4573 | WV | Primary |
Addresses
Primary practice location
451 Suncrest Town Centre Dr
Morgantown, WV 26505-1814
Mailing address
31 Highland Rd
Wheeling, WV 26003-6702
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1215643010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 HIGHLAND RD",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 SUNCREST TOWN CENTRE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051814",
"telephone_number": "304-293-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-25",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.