Active NPI
Kenneth Sales Dy, M.D.
- Family Medicine Physician
- Wheeling, WV
National Provider Identifier
1255026274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 78443
- Practice address
- Family Medicine Center
40 Medical Park Suite 401
Wheeling, WV 26003 - Phone
- (304) 243-3880
- Fax
- (304) 243-3895
- NPI assigned
- Apr 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 78443 | AZ | Primary |
Addresses
Primary practice location
Family Medicine Center
40 Medical Park Suite 401
Wheeling, WV 26003
Mailing address
Family Medicine Center
40 Medical Park Suite 401
Wheeling, WV 26003
Phone (304) 243-3880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78443 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1255026274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FAMILY MEDICINE CENTER",
"address_2": "40 MEDICAL PARK SUITE 401",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-243-3880",
"fax_number": "304-243-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY MEDICINE CENTER",
"address_2": "40 MEDICAL PARK SUITE 401",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-243-3880",
"fax_number": "304-243-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DY",
"first_name": "KENNETH",
"middle_name": "SALES",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-06",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "78443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.