Active NPI
John T Pappas, DDS
- Prosthodontics
- Wheeling, WV
National Provider Identifier
1265538870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2022
- Practice address
- 1C Elm Grove Crossing Mall
Wheeling, WV 26003-5300 - Phone
- (304) 242-9600
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 2022 | WV | Primary |
Addresses
Primary practice location
1C Elm Grove Crossing Mall
Wheeling, WV 26003-5300
Mailing address
434 Oglebay Dr
Wheeling, WV 26003-1626
Phone (304) 242-5224
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022 | WV | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265538870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 OGLEBAY DR",
"city": "WHEELING",
"state": "WV",
"postal_code": "260031626",
"telephone_number": "304-242-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1C ELM GROVE CROSSING MALL",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035300",
"telephone_number": "304-242-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPAS",
"first_name": "JOHN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WV",
"license": "2022",
"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 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.