Organization Active NPI

Tuscarora Dentistry PLLC

  • Dental Clinic/Center
  • Martinsburg, WV
National Provider Identifier
1588178479
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TUSCARORA DENTISTRY PLLC
Doing business as
Tuscarora Family Dental Care
Practice address
22 Sierra Dr
Martinsburg, WV 25403-1133
Phone
(304) 263-3131
NPI assigned
Nov 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Dr. Brandon David Smith, DDS
Title
Member
Phone
(304) 263-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

22 Sierra Dr
Martinsburg, WV 25403-1133

Mailing address

22 Sierra Dr
Martinsburg, WV 25403-1133
Phone (304) 263-3131

Other names 1

  • Tuscarora Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

22 Sierra Dr
Martinsburg, WV 25403
Phone (304) 263-3131

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1588178479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SIERRA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031133",
            "telephone_number": "304-263-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SIERRA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031133",
            "telephone_number": "304-263-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCARORA DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-263-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuscarora Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.