Individual provider Active NPI

Courtney Elizabeth Lough, DDS

  • General Practice Dentistry
  • Wheeling, WV
National Provider Identifier
1477016160
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4382 Issued in WV
Practice address
98 Washington Ave
Wheeling, WV 26003-6241
Phone
(304) 243-9010
Fax
(304) 243-9013
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4382 WV Primary

Addresses

Primary practice location

98 Washington Ave
Wheeling, WV 26003-6241

Mailing address

98 Washington Ave
Wheeling, WV 26003-6241
Phone (304) 243-9010

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819003853 WV Practitioner - Dentist 6709114408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4382WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Donald H. Lough Jr., D.D.S., Inc. General Practice PastSince May 22, 2019 Accepting new patients

Organizations & group practices 2

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1477016160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 WASHINGTON AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036241",
            "telephone_number": "304-243-9010",
            "fax_number": "304-243-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 WASHINGTON AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036241",
            "telephone_number": "304-243-9010",
            "fax_number": "304-243-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGH",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.