Individual provider Active NPI

Caroline G Labritz, DDS

  • General Practice Dentistry
  • Westover, WV
National Provider Identifier
1619075645
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3633 Issued in WV
Practice address
406 Holland Avenue
Westover, WV 26501-4209
Phone
(304) 296-3786
Fax
(304) 292-5925
NPI assigned
Sep 21, 2006
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3633 WV Primary

Addresses

Primary practice location

406 Holland Avenue
Westover, WV 26501-4209

Mailing address

406 Holland Avenue
Westover, WV 26501-4209
Phone (304) 296-3786

Other identifiers 1

IdentifierTypeStateIssuer
3810003350OtherWVWV DENTAL MEDICAL CARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 7, 2015 through Dec 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3633WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Caroline G Labritz DDS Inc General Practice Past Accepting new patients
P Ronald Graziani DDS LTD Past Accepting new patients
Diana O Frum DDS Inc General Practice Past Accepting new patients
Cglddsmorgantown Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1619075645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 HOLLAND AVENUE",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265014209",
            "telephone_number": "304-296-3786",
            "fax_number": "304-292-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 HOLLAND AVENUE",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265014209",
            "telephone_number": "304-296-3786",
            "fax_number": "304-292-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRITZ",
        "first_name": "CAROLINE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DENTAL MEDICAL CARD",
            "identifier": "3810003350",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westover, WV

Sources for this page

Verify at the official NPI Registry.