Individual provider Active NPI

Russell Tritapoe, DDS

  • Dentist
  • Romney, WV
National Provider Identifier
1326309253
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3997 Issued in WV
Practice address
HC 63 Box 3560
Romney, WV 26757-9722
Phone
(304) 822-4447
Fax
(304) 822-7943
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3997 WV Primary

Addresses

Primary practice location

HC 63 Box 3560
Romney, WV 26757-9722

Mailing address

PO Box 738
Fort Ashby, WV 26719-0738
Phone (304) 298-3501

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128002237 WV Order and Referring Only - DentistPractitioner - Dentist 0648573444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Russell Tritapoe DDS PLLC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1326309253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 738",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267190738",
            "telephone_number": "304-298-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 63 BOX 3560",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267579722",
            "telephone_number": "304-822-4447",
            "fax_number": "304-822-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITAPOE",
        "first_name": "RUSSELL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romney, WV

Sources for this page

Verify at the official NPI Registry.