Individual provider Active NPI

Ciera Vanmeter, DDS

  • Dentist
  • Petersburg, WV
National Provider Identifier
1629693296
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4461 Issued in WV
Practice address
211 Virginia Ave
Petersburg, WV 26847-1715
Phone
(304) 257-1759
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4461 WV Primary

Addresses

Primary practice location

211 Virginia Ave
Petersburg, WV 26847-1715

Mailing address

211 Virginia Ave
Petersburg, WV 26847-1715
Phone (304) 257-1759

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
4461WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey G. Kimble DDS CurrentSince Feb 7, 2021 Accepting new patients

Locations

211 Virginia Ave
Petersburg, WV 26847
Phone (304) 257-1759

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1629693296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 VIRGINIA AVE",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471715",
            "telephone_number": "304-257-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 VIRGINIA AVE",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471715",
            "telephone_number": "304-257-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMETER",
        "first_name": "CIERA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.