NPIMap

Organization Active NPI

TJ Ameredes, DDS, PLLC

  • General Practice Dentistry
  • Wheeling, WV
National Provider Identifier
1679943385
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TJ AMEREDES, DDS, PLLC
Practice address
160 Kruger St
Wheeling, WV 26003-5160
Phone
(304) 242-2400
Fax
(304) 242-2401
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dr. TJ Ameredes, DDS
Title
Owner/Dentist
Phone
(304) 242-2400

Specialties & licenses 1

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

Addresses

Primary practice location

160 Kruger St
Wheeling, WV 26003-5160

Mailing address

160 Kruger St
Wheeling, WV 26003-5160
Phone (304) 242-2400

Other names 1

  • Advanced Dentistry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1679943385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 KRUGER ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035160",
            "telephone_number": "304-242-2400",
            "fax_number": "304-242-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KRUGER ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035160",
            "telephone_number": "304-242-2400",
            "fax_number": "304-242-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ AMEREDES, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "AMEREDES",
        "authorized_official_first_name": "TJ",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "304-242-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.