NPIMap

Organization Active NPI

Charleston Dental Associates

  • General Practice Dentistry
  • Charleston, WV
National Provider Identifier
1629499553
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2194 Issued in WV
Legal business name
CHARLESTON DENTAL ASSOCIATES
Practice address
111 Brooks St
Charleston, WV 25301-2904
Phone
(304) 344-0344
Fax
(304) 344-0354
NPI assigned
Dec 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Dr. Ernest Norman Pennington, D.D.SNPI 1023037694
Title
Dentist
Phone
(304) 344-0344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2194 WV Primary

Addresses

Primary practice location

111 Brooks St
Charleston, WV 25301-2904

Mailing address

111 Brooks St
Charleston, WV 25301-2904
Phone (304) 344-0344

National Provider Directory

National Provider Directory

Locations

111 Brooks St
Charleston, WV 25301
Phone (304) 344-0344

Practitioners & affiliated clinicians

Practitioners 4

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": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1629499553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROOKS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012904",
            "telephone_number": "304-344-0344",
            "fax_number": "304-344-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROOKS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012904",
            "telephone_number": "304-344-0344",
            "fax_number": "304-344-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-344-0344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.