Brett Eckley DDS Ms Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BRETT ECKLEY DDS MS INC.

Practice address

1804 Harper Rd
Beckley, WV 25801-3331

Phone

(304) 252-0771

Fax

(304) 253-1281

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brett Edward Eckley, DDS

Title

President

Phone

(304) 252-0771

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1285871285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013331",
            "telephone_number": "304-252-0771",
            "fax_number": "304-253-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013331",
            "telephone_number": "304-252-0771",
            "fax_number": "304-253-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT ECKLEY DDS MS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "ECKLEY",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-252-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000276",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137774000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Beckley, WV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.