NPIMap

Organization Active NPI

Lewis D Gilbert, DDS, LTD

Doing business as Southwern West Virgina Oral & Maxillofacial Surgeons, LTD

  • Oral and Maxillofacial Surgery Clinic/Center
  • Summersville, WV
National Provider Identifier
1346374634
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
3691 Issued in WV
Legal business name
LEWIS D GILBERT, DDS, LTD
Doing business as
Southwern West Virgina Oral & Maxillofacial Surgeons, LTD
Practice address
807 Broad St
Summersville, WV 26651-1706
Phone
(304) 872-0300
Fax
(304) 872-5999
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Lewis D. Gilbert, DDS
Title
Managing Partner
Phone
(304) 256-3777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 2262 WV
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 3691 WV Primary

Addresses

Primary practice location

807 Broad St
Summersville, WV 26651-1706

Mailing address

807 Broad St
PO Box 1008
Summersville, WV 26651-1706
Phone (304) 872-0300

Other names 1

  • Southwern West Virgina Oral & Maxillofacial Surgeons, LTD Doing business as

National Provider Directory

National Provider Directory

Locations

433 Carriage Dr
Beckley, WV 25801
Phone (304) 256-3777

220 Locust St
Princeton, WV 24740
Phone (304) 425-4220

807 Broad St
Summersville, WV 26651
Phone (304) 872-0300

Practitioners & affiliated clinicians

Practitioners 7

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1346374634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 BROAD ST",
            "address_2": "PO BOX 1008",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511706",
            "telephone_number": "304-872-0300",
            "fax_number": "304-872-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 BROAD ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511706",
            "telephone_number": "304-872-0300",
            "fax_number": "304-872-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS D GILBERT, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "304-256-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "2262",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwern West Virgina Oral & Maxillofacial Surgeons, LTD",
            "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 Mar 4, 2015; 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.