Individual provider Active NPI

Alex High, DDS

  • Dentist
  • Wheeling, WV
National Provider Identifier
1285896332
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3747 Issued in WV
Practice address
1203 Mount de Chantal Rd
Ste 3
Wheeling, WV 26003-6332
Phone
(304) 243-5555
Fax
(304) 243-9031
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3747 WV Primary

Addresses

Primary practice location

1203 Mount de Chantal Rd
Ste 3
Wheeling, WV 26003-6332

Mailing address

1203 Mount de Chantal Rd
Ste 3
Wheeling, WV 26003-6332
Phone (304) 243-5555

Other identifiers 1

IdentifierTypeStateIssuer
3810011708MedicaidWV

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1285896332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 MOUNT DE CHANTAL RD",
            "address_2": "STE 3",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036332",
            "telephone_number": "304-243-5555",
            "fax_number": "304-243-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 MOUNT DE CHANTAL RD",
            "address_2": "STE 3",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036332",
            "telephone_number": "304-243-5555",
            "fax_number": "304-243-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGH",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011708",
            "state": "WV"
        }
    ],
    "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 Jun 30, 2008; 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.