Organization Active NPI

Donald E. Patthoff DDS Inc

  • Dentist
  • Martinsburg, WV
National Provider Identifier
1255595468
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2151 Issued in WV
Legal business name
DONALD E. PATTHOFF DDS INC
Practice address
300 Foxcroft Ave Ste 302
Martinsburg, WV 25401-5341
Phone
(304) 263-0411
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mrs. Deborah K Patthoff
Title
Office Manager
Phone
(304) 263-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2151 WV Primary

Addresses

Primary practice location

300 Foxcroft Ave Ste 302
Martinsburg, WV 25401-5341

Mailing address

300 Foxcroft Ave Ste 302
Martinsburg, WV 25401-5341
Phone (304) 263-0411

Other identifiers 1

IdentifierTypeStateIssuer
0135837000MedicaidWV

National Provider Directory

National Provider Directory

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1255595468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOXCROFT AVE STE 302",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015341",
            "telephone_number": "304-263-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOXCROFT AVE STE 302",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015341",
            "telephone_number": "304-263-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E. PATTHOFF DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "PATTHOFF",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-263-0411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "2151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135837000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.