NPIMap

Organization Active NPI

Katherine Wooton D.D.S., Inc

  • Dentist
  • Summersville, WV
National Provider Identifier
1649849340
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KATHERINE WOOTON D.D.S., INC
Practice address
702 Professional Park Dr Ste 100
Summersville, WV 26651-2033
Phone
(304) 872-7272
NPI assigned
Jun 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Dr. Katherine WootonNPI 1316048804
Title
Dentist
Phone
(304) 692-6112

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

702 Professional Park Dr Ste 100
Summersville, WV 26651-2033

Mailing address

702 Professional Park Dr Ste 100
Summersville, WV 26651-2033
Phone (304) 872-7272

National Provider Directory

National Provider Directory

Locations

702 Professional Park Dr
Ste 100
Summersville, WV 26651
Phone (304) 872-2991

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": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1649849340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PROFESSIONAL PARK DR STE 100",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266512033",
            "telephone_number": "304-872-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PROFESSIONAL PARK DR STE 100",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266512033",
            "telephone_number": "304-872-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE WOOTON D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "WOOTON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-692-6112",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.