Active NPI
Matthew Patrick McGinnis, D.D.S.
- General Practice Dentistry
- Sophia, WV
National Provider Identifier
1699962480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- WV3680
- Practice address
- 460 Robert C Byrd Dr
Sophia, WV 25921 - Phone
- (304) 683-3274
- Fax
- (304) 683-3885
- NPI assigned
- Sep 26, 2007
- Last updated
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | WV3680 | WV | Primary |
Addresses
Primary practice location
460 Robert C Byrd Dr
Sophia, WV 25921
Mailing address
PO Box 300
Sophia, WV 25921-0300
Phone (304) 683-3274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | NONE |
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 |
|---|---|---|---|
| WV3680 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew P. McGinnis, DDS, PLLC | Past | Accepting new patients | |
| Roger D. Clay, D.D.S.,Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Sophia, WV
- NPI 1508185489
-
- General Practice Dentistry
- Sophia, WV
- NPI 1932284452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1699962480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 300",
"city": "SOPHIA",
"state": "WV",
"postal_code": "259210300",
"telephone_number": "304-683-3274",
"fax_number": "304-683-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 ROBERT C BYRD DR",
"city": "SOPHIA",
"state": "WV",
"postal_code": "25921",
"telephone_number": "304-683-3274",
"fax_number": "304-683-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINNIS",
"first_name": "MATTHEW",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "WV3680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "N/A",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sophia, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.