Active NPI
Charles W Sisson, D.D.S.
- General Practice Dentistry
- Huntington, WV
National Provider Identifier
1396711743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2223
- Practice address
- 724 9TH Ave
Huntington, WV 25701-2719 - Phone
- (304) 525-0016
- Fax
- (304) 525-4088
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2223 | WV | Primary |
Addresses
Primary practice location
724 9TH Ave
Huntington, WV 25701-2719
Mailing address
724 9TH Ave
Huntington, WV 25701-2719
Phone (304) 525-0016
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2223 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M H Dill and C W Sisson Inc | 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.
-
- Dental Clinic/Center
- Huntington, WV
- NPI 1710147947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1396711743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 9TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012719",
"telephone_number": "304-525-0016",
"fax_number": "304-525-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 9TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012719",
"telephone_number": "304-525-0016",
"fax_number": "304-525-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISSON",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "2223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.