Organization Active NPI

Alt V Dental WV PLLC

  • General Practice Dentistry
  • Charles Town, WV
National Provider Identifier
1699427419
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALT V DENTAL WV PLLC
Practice address
115 S Charles St
Charles Town, WV 25414-1613
Phone
(330) 951-9153
Fax
(888) 817-9032
NPI assigned
Jan 23, 2022
Last updated
Jan 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Authorized official

Name
Dr. Nadia Armentrout, DDSNPI 1871794099
Title
Owner
Phone
(330) 951-9153

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

115 S Charles St
Charles Town, WV 25414-1613

Mailing address

100 Purcellville Gateway Dr Ste D
Purcellville, VA 20132-3487
Phone (330) 951-9153

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott@alyvdental.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642896000000",
    "number": "1699427419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PURCELLVILLE GATEWAY DR STE D",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323487",
            "telephone_number": "330-951-9153",
            "fax_number": "888-817-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CHARLES ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141613",
            "telephone_number": "330-951-9153",
            "fax_number": "888-817-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALT V DENTAL WV PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A",
        "authorized_official_last_name": "ARMENTROUT",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-951-9153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott@alyvdental.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115 S Charles St",
            "city": "Charles Town",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254141613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; 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.