Active NPI
Ray P. Vanderhook, DDS,MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charles Town, WV
National Provider Identifier
1386728871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2594
- Practice address
- 46 Trifecta PL
Suite 100
Charles Town, WV 25414-4958 - Phone
- (304) 725-0126
- Fax
- (304) 728-0182
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2594 | WV | Primary |
Addresses
Primary practice location
46 Trifecta PL
Suite 100
Charles Town, WV 25414-4958
Mailing address
46 Trifecta PL
Suite 100
Charles Town, WV 25414-4958
Phone (304) 725-0126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2594 | WV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227571200000",
"number": "1386728871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 TRIFECTA PL",
"address_2": "SUITE 100",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254144958",
"telephone_number": "304-725-0126",
"fax_number": "304-728-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 TRIFECTA PL",
"address_2": "SUITE 100",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254144958",
"telephone_number": "304-725-0126",
"fax_number": "304-728-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERHOOK",
"first_name": "RAY",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2008-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WV",
"license": "2594",
"primary": true
}
],
"identifiers": [],
"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 Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.