Individual provider Active NPI

Arnold Jerald Given, D.D.S.

  • Dentist
  • Saint Albans, WV
National Provider Identifier
1619047461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WV2702 Issued in WV
Practice address
215 5TH Ave # a
Saint Albans, WV 25177-2809
Phone
(304) 722-3553
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X WV2702 WV Primary

Addresses

Primary practice location

215 5TH Ave # a
Saint Albans, WV 25177-2809

Mailing address

215 5TH Ave # a
Saint Albans, WV 25177-2809
Phone (304) 722-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
WV2702WVMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619047461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 5TH AVE # A",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772809",
            "telephone_number": "304-722-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 5TH AVE # A",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772809",
            "telephone_number": "304-722-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVEN",
        "first_name": "ARNOLD",
        "middle_name": "JERALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "WV2702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.