Dr. Russell Tritapoe DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

3997 Issued in WV

Legal business name

DR. RUSSELL TRITAPOE DDS PLLC

Practice address

58 Presidents Street
Fort Ashby, WV 26719-0738

Phone

(304) 298-3501

Fax

(304) 298-3406

NPI assigned

Jul 18, 2015

Last updated

Jul 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell Tritapoe, DDSNPI 1326309253

Title

Owner

Phone

(304) 298-3501

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Russell Tritapoe, DDS

  • Dentist
  • Romney, WV
  • NPI 1326309253
  NPD (past) Authorized official

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1609250729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 738",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267190738",
            "telephone_number": "304-298-3501",
            "fax_number": "304-298-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PRESIDENTS STREET",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267190738",
            "telephone_number": "304-298-3501",
            "fax_number": "304-298-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RUSSELL TRITAPOE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "TRITAPOE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-298-3501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025875",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Fort Ashby, WV
• Providers in Fort Ashby, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.