Active NPI
Les E. Nicholson D.D.S. Inc.
- Dentist
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2331
- Legal business name
- LES E. NICHOLSON D.D.S. INC.
- Practice address
- 2220 Cheat Rd
Morgantown, WV 26508-4453 - Phone
- (304) 594-1499
- Fax
- (304) 594-0150
- NPI assigned
- Jun 20, 2006
- Last updated
- Aug 22, 2020
- 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. Les Edward Nicholson, D.D.S.
- Title
- President
- Phone
- (304) 594-1499
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2331 | WV | Primary |
Addresses
Primary practice location
2220 Cheat Rd
Morgantown, WV 26508-4453
Mailing address
2220 Cheat Rd
Morgantown, WV 26508-4453
Phone (304) 594-1499
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136227001 | Medicaid | WV | |
| 98787 | Other | WV | UNITED CONCORDIA CORP # |
National Provider Directory
National Provider Directory- Tax ID family
- Les E Nicholson DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Kingwood, WV
- NPI 1649201443
Locations
2220 Cheat Rd
Morgantown, WV 26508
Phone (304) 594-1499
Practitioners & affiliated clinicians
Practitioners 1
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
- Morgantown, WV
- NPI 1902849094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457397432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 CHEAT RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265084453",
"telephone_number": "304-594-1499",
"fax_number": "304-594-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 CHEAT RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265084453",
"telephone_number": "304-594-1499",
"fax_number": "304-594-0150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LES E. NICHOLSON D.D.S. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NICHOLSON",
"authorized_official_first_name": "LES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-594-1499",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "2331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136227001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA CORP #",
"identifier": "98787",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.