NPIMap

Organization Active NPI

Dustin Huffman, DDS, and Angel Cook-Huffman, DDS, Inc

  • Dentist
  • Vienna, WV
National Provider Identifier
1306961339
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WV3579 Issued in WV
Legal business name
DUSTIN HUFFMAN, DDS, AND ANGEL COOK-HUFFMAN, DDS, INC
Practice address
904 Grand Central Ave Ste B
Vienna, WV 26105-2100
Phone
(304) 295-3384
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dr. Dustin Huffman, DDSNPI 1205924297
Title
President
Phone
(304) 295-3366

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X WV3579 WV Primary

Addresses

Primary practice location

904 Grand Central Ave Ste B
Vienna, WV 26105-2100

Mailing address

904 Grand Central Ave Ste B
Vienna, WV 26105-2100
Phone (304) 295-3384

Other names 1

  • Vienna Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

904 Grand Central Ave
Ste B
Vienna, WV 26105
Phone (304) 295-3366

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1306961339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 GRAND CENTRAL AVE STE B",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261052100",
            "telephone_number": "304-295-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 GRAND CENTRAL AVE STE B",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261052100",
            "telephone_number": "304-295-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN HUFFMAN, DDS, AND ANGEL COOK-HUFFMAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-295-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "WV3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vienna Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, WV

Sources for this page

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