Individual provider Active NPI

Melissa Suann Gaydos, HYGIENISTS

  • Dental Hygienist
  • Morgantown, WV
National Provider Identifier
1487872800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
WV-1650 Issued in WV
Practice address
3000 Hampton Ctr
Suite B
Morgantown, WV 26505-1708
Phone
(304) 599-5000
Fax
(304) 599-6629
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X WV-1650 WV Primary

Addresses

Primary practice location

3000 Hampton Ctr
Suite B
Morgantown, WV 26505-1708

Mailing address

211 Rivercrest Dr
Morgantown, WV 26508-9028
Phone (304) 598-9459

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
WV-1650WVMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Roy E Day 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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487872800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RIVERCREST DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089028",
            "telephone_number": "304-598-9459",
            "fax_number": "304-599-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HAMPTON CTR",
            "address_2": "SUITE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051708",
            "telephone_number": "304-599-5000",
            "fax_number": "304-599-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYDOS",
        "first_name": "MELISSA",
        "middle_name": "SUANN",
        "name_prefix": "Mrs.",
        "credential": "HYGIENISTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WV",
            "license": "WV-1650",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 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.

Verify at the official NPI Registry.