Organization Active NPI

Frederick H Sammons DDS LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Huntington, WV
National Provider Identifier
1598837460
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FREDERICK H SAMMONS DDS LTD
Practice address
1040 20TH St
Huntington, WV 25703
Phone
(304) 522-3512
Fax
(304) 522-6233
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Dr. Frederick Henry Sammons Jr., DDS MSNPI 1912374075
Title
President
Phone
(304) 522-3512

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1040 20TH St
Huntington, WV 25703

Mailing address

1040 20TH Street
Huntington, WV 25703
Phone (304) 522-3512

Other identifiers 1

IdentifierTypeStateIssuer
3810022161MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Frederick H Sammons DDS LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1040 20th St
Huntington, WV 25703
Phone (304) 516-1843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1598837460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 20TH STREET",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25703",
            "telephone_number": "304-522-3512",
            "fax_number": "304-522-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25703",
            "telephone_number": "304-522-3512",
            "fax_number": "304-522-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK H SAMMONS DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "SAMMONS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-522-3512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022161",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.