NPIMap

Organization Active NPI

David C. Stahr, DDS, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fairmont, WV
National Provider Identifier
1609297068
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3839 Issued in WV
Legal business name
DAVID C. STAHR, DDS, PLLC
Practice address
1030 Morgantown Ave
Fairmont, WV 26554-4375
Phone
(304) 363-2020
Fax
(304) 363-8021
NPI assigned
Jan 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Dr. David C. Stahr, DDS, PLLC, DDS
Title
Owner
Phone
(304) 363-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 3839 WV Primary

Addresses

Primary practice location

1030 Morgantown Ave
Fairmont, WV 26554-4375

Mailing address

1030 Morgantown Ave
Fairmont, WV 26554-4375
Phone (304) 363-2020

National Provider Directory

National Provider Directory

Locations

1030 Morgantown Ave
Fairmont, WV 26554
Phone (304) 363-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1609297068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544375",
            "telephone_number": "304-363-2020",
            "fax_number": "304-363-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544375",
            "telephone_number": "304-363-2020",
            "fax_number": "304-363-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. STAHR, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "PLLC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C. STAHR, DDS,",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-363-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "3839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.