Organization Active NPI

Andrew Minigh DDS of Glenville Inc

  • General Practice Dentistry
  • Glenville, WV
National Provider Identifier
1285080549
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3819 Issued in WV
Legal business name
ANDREW MINIGH DDS OF GLENVILLE INC
Practice address
809 Mineral Rd
Glenville, WV 26351-1385
Phone
(304) 462-7343
NPI assigned
May 5, 2016
Last updated
May 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Dr. Andrew Minigh, DDSNPI 1114176997
Title
President
Phone
(304) 592-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3819 WV Primary

Addresses

Primary practice location

809 Mineral Rd
Glenville, WV 26351-1385

Mailing address

PO Box 730
Glenville, WV 26351-0730
Phone (304) 462-7343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170314001089 WV Part B Supplier - Clinic/Group Practice 8123303161 Receives reassigned benefits from 1 practitioner
Practice locations: Glenville, WV

National Provider Directory

National Provider Directory

Locations

809 Mineral Rd
Glenville, WV 26351
Phone (304) 462-5708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1285080549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263510730",
            "telephone_number": "304-462-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MINERAL RD",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511385",
            "telephone_number": "304-462-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW MINIGH DDS OF GLENVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "MINIGH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-592-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.