Active NPI
James W. Vargo, DDS
- Endodontics
- Lewisburg, WV
National Provider Identifier
1306918776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2679
- Practice address
- 3474 Jefferson St N #105
Lewisburg, WV 24901 - Phone
- (681) 318-3364
- Fax
- (681) 318-3365
- NPI assigned
- Nov 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2679 | WV | Primary |
Addresses
Primary practice location
3474 Jefferson St N #105
Lewisburg, WV 24901
Mailing address
3474 Jefferson St N #105
Lewisburg, WV 24901
Phone (681) 318-3364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133694000 | Medicaid | WV |
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 |
|---|---|---|---|---|
| I20150828000734 | WV | Order and Referring Only - Dentist | 0244546729 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1306918776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3474 JEFFERSON ST N #105",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "24901",
"telephone_number": "681-318-3364",
"fax_number": "681-318-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3474 JEFFERSON ST N #105",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "24901",
"telephone_number": "681-318-3364",
"fax_number": "681-318-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "JAMES",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WV",
"license": "2679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0133694000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, WV
- Zedekiah Fall Turner
- James Milton Umberger, MA, LPC
- Urgent Care, Inc - West Virginia (Urgent Care, Inc - West Virginia Lewisburg)
- Gina Vallandingham, LGSW
- Valley Health Associates LLC
- Clayton Atwood Vasey, D.O.
- Linda Schriver Vass
- Marvin K Vaughan
- Arnold Kaltreider Vaughn, R.D., L.D., C.D.E.
- Cheryl Vess, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.