Organization Active NPI

Central West Virginia Sleep Solutions PLLC

  • Dental Clinic/Center
  • Summersville, WV
National Provider Identifier
1316685977
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CENTRAL WEST VIRGINIA SLEEP SOLUTIONS PLLC
Doing business as
Central West Virginia Sleep Solutions PLLC
Practice address
832 Broad St
Summersville, WV 26651-1758
Phone
(304) 872-3919
Fax
(304) 872-4943
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Dr. Kevin C Lucky, DDSNPI 1104970300
Title
Owner
Phone
(304) 872-3919

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

832 Broad St
Summersville, WV 26651-1758

Mailing address

832 Broad St
Summersville, WV 26651-1758
Phone (304) 872-3919

Other names 1

  • Central West Virginia Sleep Solutions PLLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drklucky13@yahoo.com Direct

National Provider Directory

National Provider Directory

Locations

832 Broad St
Summersville, WV 26651
Phone (304) 872-3919

Practitioners & affiliated clinicians

Practitioners 6

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": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1316685977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 BROAD ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511758",
            "telephone_number": "304-872-3919",
            "fax_number": "304-872-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 BROAD ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511758",
            "telephone_number": "304-872-3919",
            "fax_number": "304-872-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WEST VIRGINIA SLEEP SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "LUCKY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-872-3919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drklucky13@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "832 Broad St",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266511758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Central West Virginia Sleep Solutions PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.