Individual provider Active NPI

Joey A Roy, DDS

  • General Practice Dentistry
  • Huntington, WV
National Provider Identifier
1346246741
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D2577 Issued in WV
Practice address
1616 13TH Ave Ste 200
Huntington, WV 25701-3840
Phone
(304) 691-1247
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D2577 WV Primary

Addresses

Primary practice location

1616 13TH Ave Ste 200
Huntington, WV 25701-3840

Mailing address

PO Box 408
West Hamlin, WV 25571-0408
Phone (304) 824-7704

Other identifiers 1

IdentifierTypeStateIssuer
0136669000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address royj@marshall.cerner.com

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
I20160525001037 WV Practitioner - Oral Surgery 2961704614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jun 1, 2016 Accepting new patients
University Physicians & Surgeons, Inc CurrentSince Jun 1, 2016 Accepting new patients
J a Roy DDS General Practice Past Accepting new patients

Locations

1616 13th Ave
Ste 200
Huntington, WV 25701
Phone (304) 691-1237

1600 Medical Center Dr
Ste 2500
Huntington, WV 25701
Phone (304) 691-1200

1249 15th St
Ste 4093
Huntington, WV 25701
Phone (304) 691-8714

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

Organizations & group practices 3

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1346246741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "city": "WEST HAMLIN",
            "state": "WV",
            "postal_code": "255710408",
            "telephone_number": "304-824-7704",
            "fax_number": "304-824-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE STE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-691-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "JOEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "D2577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136669000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "royj@marshall.cerner.com",
            "affiliation": "N",
            "address_1": "1616 13th Ave Ste 200",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.