Joel R. Whitaker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2353 Issued in WV

Practice address

75 Spy Rock Loop Road
Lookout, WV 25868

Phone

(304) 574-2076

Fax

(304) 574-1068

NPI assigned

Apr 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joel.whitaker.1@16450.direct.athenahealth.com

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.

• New River Health Association, Inc.

  dba New River Health - Scarbro

  • Federally Qualified Health Center (FQHC)
  • Scarbro, WV
  • NPI 1811983331
  Medicare reassignment NPD
• New River Health Association, Inc.

  dba New River Health Harper Road

  • Federally Qualified Health Center (FQHC)
  • Beckley, WV
  • NPI 1033088331
  NPD
• New River Health Association, Inc.

  dba Lisa Elliott Health Center

  • Federally Qualified Health Center (FQHC)
  • Lookout, WV
  • NPI 1346426103
  NPD

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1568425874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259170337",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPY ROCK LOOP ROAD",
            "city": "LOOKOUT",
            "state": "WV",
            "postal_code": "25868",
            "telephone_number": "304-574-2076",
            "fax_number": "304-574-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JOEL",
        "middle_name": "R.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357662",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136147000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John G. Hubbard, DDS
• New River Health Association, Inc. (Lisa Elliott Health Center)
• Colleen M O'Brien, D.D.S.
• Abigail Lee Sevy
• Ruby Skaggs

• General Practice Dentistry in Lookout, WV
• Providers in Lookout, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.