Individual provider Active NPI

Misha Dent, PA

  • Physician Assistant
  • Huntington, WV
National Provider Identifier
1467406504
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1042 Issued in WV
Practice address
4540 US Route 60
Huntington, WV 25705-1936
Phone
(045) 257-1113
Fax
(304) 736-1589
NPI assigned
May 22, 2006
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01042 WV
Physician Assistant 363A00000X 1042 WV Primary

Addresses

Primary practice location

4540 US Route 60
Huntington, WV 25705-1936

Mailing address

2828 1St Ave Ste 204
Huntington, WV 25702-1236
Phone (304) 535-7111

Other practice location 1

221 4th Ave
Saint Albans, WV 25177-2821
Phone (304) 525-7111

Other identifiers 2

IdentifierTypeStateIssuer
3001166OtherWVWORKERS COMPENSATION
001807955OtherWVBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000010 WV Practitioner - Physician Assistant 0648177709 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

221 4TH Ave
Saint Albans, WV 25177-2821
Phone (304) 520-0461

2828 1St Ave
Suite 204
Huntington, WV 25702-1236
Phone (304) 525-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01042WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospitalist Group Inc CurrentSince May 28, 2023 Accepting new patients
Huntington Hospitalist Group Inc CurrentSince Dec 7, 2019 Accepting new patients

Locations

2828 1st Ave
Ste 204
Huntington, WV 25702
Phone (304) 525-7111

221 4th Ave
Saint Albans, WV 25177
Phone (304) 520-0461

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1467406504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE STE 204",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021236",
            "telephone_number": "304-535-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051936",
            "telephone_number": "045-257-1113",
            "fax_number": "304-736-1589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "WV",
            "postal_code": "251772821",
            "country_code": "US",
            "telephone_number": "304-525-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENT",
        "first_name": "MISHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01042",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "3001166",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001807955",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.