Dr. Joseph M. Duda

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

3202 Issued in WV

Legal business name

DR. JOSEPH M. DUDA

Practice address

150 Brookshire LN
Beckley, WV 25801-6761

Phone

(304) 255-1411

Fax

(304) 255-5111

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Matthew Duda, DMDNPI 1972610509

Title

Oral Surgeon

Phone

(304) 255-1411

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Matthew Duda, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Beckley, WV
  • NPI 1972610509
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285742270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016761",
            "telephone_number": "304-255-1411",
            "fax_number": "304-255-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016761",
            "telephone_number": "304-255-1411",
            "fax_number": "304-255-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOSEPH M. DUDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUDA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "304-255-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "3202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138072000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Wayne Douglas, MD
• Sandra Douglas
• Amy W Dowdy, D.O.
• Dr L E Syner and Dr W M Wine Assoc in Oral & Maxillofacial Surg Inc,
• Dr. Bose S. Mikkilineni, M.D. Facs
• Dr. Rhonda Guy & Associates
• Jennifer Lynn Drake, PA-C
• DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc
• DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc
• Drug Emporium

• Oral and Maxillofacial Surgery Clinic/Center in Beckley, WV
• Providers in Beckley, WV by specialty
• Oral and Maxillofacial Surgery Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.