Individual provider Active NPI

Tammy Lynn Chipps, D.D.S.

  • General Practice Dentistry
  • Morgantown, WV
National Provider Identifier
1235383357
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3822 Issued in WV
Practice address
Robert C Byrd Health Sciences Center
1 Medical Center Dr
Morgantown, WV 26506
Phone
(304) 293-1245
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037687 PA
General Practice Dentistry 1223G0001X 3822 WV Primary

Addresses

Primary practice location

Robert C Byrd Health Sciences Center
1 Medical Center Dr
Morgantown, WV 26506

Mailing address

433 W Herring Rd
Masontown, WV 26542-9259
Phone (304) 288-6097

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160317001206 WV Order and Referring Only - DentistPractitioner - Dentist 4284930264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS037687PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles R. Venneri, D.M.D. Dentist Past Accepting new patients
Brandi Howard-Stickel & Associates, DDS, LLC General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1235383357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W HERRING RD",
            "city": "MASONTOWN",
            "state": "WV",
            "postal_code": "265429259",
            "telephone_number": "304-288-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROBERT C BYRD HEALTH SCIENCES CENTER",
            "address_2": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-293-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPPS",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037687",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.