Active NPI
Michael Joseph Pipo Jr., DDS
- General Practice Dentistry
- Follansbee, WV
National Provider Identifier
1275633794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- WV2868
- Practice address
- 970 Main St
Follansbee, WV 26037-1450 - Phone
- (304) 527-4444
- Fax
- (304) 527-0869
- NPI assigned
- Sep 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | WV2868 | WV | Primary |
| General Practice Dentistry | 1223G0001X | 30 . 018267 | OH |
Addresses
Primary practice location
970 Main St
Follansbee, WV 26037-1450
Mailing address
PO Box 662
970 Main Street
Follansbee, WV 26037-0662
Phone (304) 527-4444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0639214 | Medicaid | OH | |
| 0132528000 | Medicaid | WV | |
| 1000002868 WV | Other | DELTA DENTAL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150723008993 | WV | Order and Referring Only - Dentist | 9436462199 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30 . 018267 | OH | MD | General Practice Dentistry |
| WV2868 | WV | MD | General Practice Dentistry |
| 2868 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1275633794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 662",
"address_2": "970 MAIN STREET",
"city": "FOLLANSBEE",
"state": "WV",
"postal_code": "260370662",
"telephone_number": "304-527-4444",
"fax_number": "304-527-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 MAIN ST",
"city": "FOLLANSBEE",
"state": "WV",
"postal_code": "260371450",
"telephone_number": "304-527-4444",
"fax_number": "304-527-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPO",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "WV2868",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30 . 018267",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0639214",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0132528000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "1000002868 WV",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Follansbee, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.