Organization Active NPI

Ronald Andrew Dickens, D.D.S., Inc

  • Dentist
  • Whitesville, WV
National Provider Identifier
1649646191
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3371 Issued in WV
Legal business name
RONALD ANDREW DICKENS, D.D.S., INC
Practice address
38924 Coal River Rd
Whitesville, WV 25209
Phone
(304) 854-2110
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Ronald Andrew Dickens, DDS
Title
Owner
Phone
(304) 252-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3371 WV Primary

Addresses

Primary practice location

38924 Coal River Rd
Whitesville, WV 25209

Mailing address

38924 Coal River Rd
Whitesville, WV 25209
Phone (304) 854-2110

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1649646191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38924 COAL RIVER RD",
            "city": "WHITESVILLE",
            "state": "WV",
            "postal_code": "25209",
            "telephone_number": "304-854-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38924 COAL RIVER RD",
            "city": "WHITESVILLE",
            "state": "WV",
            "postal_code": "25209",
            "telephone_number": "304-854-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD ANDREW DICKENS, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-252-6422",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "3371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.