Active NPI
Millard Eugene Minor, D.D.S.
- Dentist
- Philippi, WV
National Provider Identifier
1659313625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- WV 2063
- Practice address
- 27 N Main St
Office 2 and 3
Philippi, WV 26416-1155 - Phone
- (304) 457-2015
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | WV 2063 | WV | Primary |
Addresses
Primary practice location
27 N Main St
Office 2 and 3
Philippi, WV 26416-1155
Mailing address
27 N Main St
Office 2 and 3
Philippi, WV 26416-1155
Phone (304) 457-2015
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
| License | State | Type | Specialty |
|---|---|---|---|
| WV 2063 | WV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1659313625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 N MAIN ST",
"address_2": "OFFICE 2 AND 3",
"city": "PHILIPPI",
"state": "WV",
"postal_code": "264161155",
"telephone_number": "304-457-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 N MAIN ST",
"address_2": "OFFICE 2 AND 3",
"city": "PHILIPPI",
"state": "WV",
"postal_code": "264161155",
"telephone_number": "304-457-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "MILLARD",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "WV 2063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philippi, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.