Organization Active NPI

Wesley a. Pate, D.D.S. PLLC

  • Dentist
  • Weirton, WV
National Provider Identifier
1548324858
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2635 Issued in WV
Legal business name
WESLEY A. PATE, D.D.S. PLLC
Practice address
382 Penco Rd
Weirton, WV 26062-3813
Phone
(304) 723-1514
NPI assigned
Dec 21, 2006
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Wesley A Pate, D.D.S.NPI 1780097659
Title
Managing Member
Phone
(304) 723-1514

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)CodeLicenseStatePrimary
Dentist 122300000X 2635 WV Primary

Addresses

Primary practice location

382 Penco Rd
Weirton, WV 26062-3813

Mailing address

382 Penco Rd
Weirton, WV 26062-3813
Phone (304) 723-1514

Other identifiers 1

IdentifierTypeStateIssuer
0136818000MedicaidWV

National Provider Directory

National Provider Directory

Locations

382 Penco Rd
Weirton, WV 26062
Phone (304) 723-1514

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1548324858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 PENCO RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623813",
            "telephone_number": "304-723-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 PENCO RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623813",
            "telephone_number": "304-723-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY A. PATE, D.D.S. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "304-723-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "2635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136818000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.