Active NPI
Stephen Girard Sinclair, DDS
- Dentist
- Farmington, WV
National Provider Identifier
1578670139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2950
- Practice address
- 1021 Main St
Manchin Clinic 3Rd FLR
Farmington, WV 26571-0510 - Phone
- (304) 825-6004
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2950 | WV | Primary |
Addresses
Primary practice location
1021 Main St
Manchin Clinic 3Rd FLR
Farmington, WV 26571-0510
Mailing address
PO Box 510
Manchin Clinic Third Floor
Farmington, WV 26571-0510
Phone (304) 825-6004
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578670139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510",
"address_2": "MANCHIN CLINIC THIRD FLOOR",
"city": "FARMINGTON",
"state": "WV",
"postal_code": "265710510",
"telephone_number": "304-825-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MAIN ST",
"address_2": "MANCHIN CLINIC 3RD FLR",
"city": "FARMINGTON",
"state": "WV",
"postal_code": "265710510",
"telephone_number": "304-825-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR",
"first_name": "STEPHEN",
"middle_name": "GIRARD",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "2950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, 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.