Individual provider Active NPI

Diana Oliver Frum, DDS

  • Dentist
  • Westover, WV
National Provider Identifier
1578624144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2675 Issued in WV
Practice address
406 Holland Ave
Westover, WV 26501-4209
Phone
(304) 296-3786
Fax
(304) 292-5925
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Dentist 122300000X 2675 WV Primary

Addresses

Primary practice location

406 Holland Ave
Westover, WV 26501-4209

Mailing address

406 Holland Ave
Westover, WV 26501-4209
Phone (304) 296-3786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180417002874 PA Order and Referring Only - DentistPractitioner - Dentist 2860680055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2675WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana O Frum DDS Inc PastSince Dec 6, 2010 Accepting new patients
Cglddsmorgantown Dentist Past 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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578624144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 HOLLAND AVE",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265014209",
            "telephone_number": "304-296-3786",
            "fax_number": "304-292-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 HOLLAND AVE",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265014209",
            "telephone_number": "304-296-3786",
            "fax_number": "304-292-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUM",
        "first_name": "DIANA",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westover, WV

Sources for this page

Verify at the official NPI Registry.