Organization Active NPI

Nicholas Feola, DDS, PLLC

  • General Practice Dentistry
  • Dunbar, WV
National Provider Identifier
1679739072
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NICHOLAS FEOLA, DDS, PLLC
Practice address
1334 Ohio Ave
Dunbar, WV 25064-2933
Phone
(304) 768-1736
Fax
(304) 768-4544
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Dr. Nicholas FeolaNPI 1083872550
Title
President/Dentist
Phone
(304) 768-1736

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1334 Ohio Ave
Dunbar, WV 25064-2933

Mailing address

1334 Ohio Ave
Dunbar, WV 25064-2933
Phone (304) 768-1736

Other identifiers 1

IdentifierTypeStateIssuer
0137104000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1334 Ohio Ave
Dunbar, WV 25064
Phone (304) 768-1736

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": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1679739072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 OHIO AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642933",
            "telephone_number": "304-768-1736",
            "fax_number": "304-768-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 OHIO AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642933",
            "telephone_number": "304-768-1736",
            "fax_number": "304-768-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS FEOLA, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "FEOLA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "304-768-1736",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137104000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunbar, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.