Active NPI
Joanna S. Luciano Parker, DDS, PLLC
- General Practice Dentistry
- Charles Town, WV
National Provider Identifier
1366865552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JOANNA S. LUCIANO PARKER, DDS, PLLC
- Practice address
- 46 Trifecta PL Ste 102
Charles Town, WV 25414-5652 - Phone
- (304) 725-0508
- Fax
- (304) 728-8761
- NPI assigned
- Jan 24, 2014
- Last updated
- Jan 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joanna Susan Luciano Parker, DDS
- Title
- General Dentist
- Phone
- (304) 579-7508
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
46 Trifecta PL Ste 102
Charles Town, WV 25414-5652
Mailing address
46 Trifecta PL Ste 102
Charles Town, WV 25414-5652
Phone (304) 725-0508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06586 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
46 Trifecta Pl
Ste 102
Charles Town, WV 25414
Phone (304) 725-0508
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Charles Town, WV
- NPI 1558581272
-
- General Practice Dentistry
- Berkeley Springs, WV
- NPI 1750876710
-
- General Practice Dentistry
- Charles Town, WV
- NPI 1790174282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390521600000",
"number": "1366865552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 TRIFECTA PL STE 102",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254145652",
"telephone_number": "304-725-0508",
"fax_number": "304-728-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 TRIFECTA PL STE 102",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254145652",
"telephone_number": "304-725-0508",
"fax_number": "304-728-8761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANNA S. LUCIANO PARKER, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A",
"authorized_official_last_name": "LUCIANO PARKER",
"authorized_official_first_name": "JOANNA",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "304-579-7508",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06586",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charles Town, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.