Individual provider Active NPI

D'Vano J Forbes, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Martinsburg, WV
National Provider Identifier
1639338304
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
3957 Issued in WV
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

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
16311MDMDOral & 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.

Verify at the official NPI Registry.