Active NPI
D'Vano J Forbes, DMD
- Oral & Maxillofacial Surgery (D.M.D.)
- Martinsburg, WV
National Provider Identifier
1639338304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 3957
- Practice address
- 1007 Sushruta Dr
Martinsburg, WV 25401 - Phone
- (304) 263-0991
- Fax
- (304) 274-9546
- NPI assigned
- Jun 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 3957 | WV | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 16311 | MD |
Addresses
Primary practice location
1007 Sushruta Dr
Martinsburg, WV 25401
Mailing address
666 W Baltimore St
Oral & Maxillofacial Surgery, 3-G23
Baltimore, MD 21201-1510
Other practice location 1
198 Thomas Johnson Dr Ste 101
Frederick, MD 21702-4430
Phone (301) 694-0870
Other practice location 2
1144 Opal Ct
Hagerstown, MD 21740-5940
Phone (301) 733-2500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16311 | MD | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1639338304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "666 W BALTIMORE ST",
"address_2": "ORAL & MAXILLOFACIAL SURGERY, 3-G23",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 SUSHRUTA DR",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25401",
"telephone_number": "304-263-0991",
"fax_number": "304-274-9546"
}
],
"practiceLocations": [
{
"address_1": "198 Thomas Johnson Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024430",
"country_code": "US",
"telephone_number": "301-694-0870",
"fax_number": "301-694-7034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1144 Opal Ct",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217405940",
"country_code": "US",
"telephone_number": "301-733-2500",
"fax_number": "301-733-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORBES",
"first_name": "D'VANO",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "WV",
"license": "3957",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MD",
"license": "16311",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.