Family Dentistry of Weston, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4212 Issued in WV

Legal business name

FAMILY DENTISTRY OF WESTON, PLLC

Practice address

19 Garton PLZ
Weston, WV 26452-2128

Phone

(304) 269-6151

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By 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. Kayla Hudimac, D.D.S.NPI 1912356734

Title

Member

Phone

(304) 312-1652

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kayla Louann Hudimac, D.D.S.

  • Dentist
  • Weston, WV
  • NPI 1912356734
  NPD (past) Authorized official
• James Robert Bennett, D.D.S

  • General Practice Dentistry
  • Weston, WV
  • NPI 1861645830
  NPD (past)

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1629420401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-269-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-269-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF WESTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "HUDIMAC",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-312-1652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raegan Dutchess
• Mona Marie Eagle
• Amy Jo Fallo
• Jennifer Dawn Fallo
• Family & Marital Counseling Center, Inc.
• Daniel D.T. Farnsworth IV, OD
• Fast & Friendly Pharmacy RC LLC
• Colin Dennis Fee, M.D.
• First Settlement Physical Therapy
• Brigetta Ann Fisher, PTA

• General Practice Dentistry in Weston, WV
• Providers in Weston, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.