Organization Active NPI

Johnathon J. Hale DDS PLLC

  • General Practice Dentistry
  • Oak Hill, WV
National Provider Identifier
1609219187
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WV3858 Issued in WV
Legal business name
JOHNATHON J. HALE DDS PLLC
Practice address
400 Virginia St
Oak Hill, WV 25901
Phone
(304) 465-5361
Fax
(681) 823-4107
NPI assigned
Apr 15, 2013
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Dr. Johnathon Joseph Hale, DDSNPI 1144455585
Title
Dentist/Owner
Phone
(304) 465-5361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WV3858 WV Primary

Addresses

Primary practice location

400 Virginia St
Oak Hill, WV 25901

Mailing address

400 Virginia St
Oak Hill, WV 25901
Phone (304) 465-5361

Other identifiers 1

IdentifierTypeStateIssuer
3810018173MedicaidWV

National Provider Directory

National Provider Directory

Locations

400 Virginia St
Oak Hill, WV 25901
Phone (304) 465-5361

417 Main St E
Oak Hill, WV 25901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1609219187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VIRGINIA ST",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "25901",
            "telephone_number": "304-465-5361",
            "fax_number": "681-823-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VIRGINIA ST",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "25901",
            "telephone_number": "304-465-5361",
            "fax_number": "681-823-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNATHON J. HALE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "JOHNATHON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "304-465-5361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV3858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018173",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.