NPIMap

Organization Active NPI

Thomas E Condron DDS

  • General Practice Dentistry
  • Clarksburg, WV
National Provider Identifier
1457415135
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WV1963 Issued in WV
Legal business name
THOMAS E CONDRON DDS
Practice address
234 Court St
Clarksburg, WV 26301-2906
Phone
(304) 623-4984
Fax
(304) 623-2830
NPI assigned
Dec 20, 2006
Last updated
Mar 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Dr. Thomas E Condron IX, D.D.S
Title
Dentist
Phone
(304) 623-4984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WV1963 WV Primary

Addresses

Primary practice location

234 Court St
Clarksburg, WV 26301-2906

Mailing address

234 Court St
Clarksburg, WV 26301-2906
Phone (304) 623-4984

Other identifiers 3

IdentifierTypeStateIssuer
0134914000MedicaidWV
0137302000MedicaidWV
03810005032MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1457415135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 COURT ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012906",
            "telephone_number": "304-623-4984",
            "fax_number": "304-623-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 COURT ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012906",
            "telephone_number": "304-623-4984",
            "fax_number": "304-623-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E CONDRON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "CONDRON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-623-4984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IX",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV1963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134914000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137302000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03810005032",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.