NPIMap

Organization Active NPI

West Virginia University Dental Corporation

  • Dentist
  • Morgantown, WV
National Provider Identifier
1720097637
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST VIRGINIA UNIVERSITY DENTAL CORPORATION
Practice address
1 Med Center Dr
Morgantown, WV 26506-0000
Phone
(304) 293-2240
Fax
(304) 293-7646
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Diane Hess
Title
Manager,Dental Billing
Phone
(304) 293-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1 Med Center Dr
Morgantown, WV 26506-0000

Mailing address

PO Box 1587
Morgantown, WV 26507-1587
Phone (304) 293-2240

Other names 1

  • UNIVERSITY HEALTH ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716000308 WV Part B Supplier - Clinic/Group Practice 1850370586 Receives reassigned benefits from 9 practitioners
Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory
Tax ID family
Uha Dental4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1720097637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1587",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265071587",
            "telephone_number": "304-293-2240",
            "fax_number": "304-293-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MED CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265060000",
            "telephone_number": "304-293-2240",
            "fax_number": "304-293-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA UNIVERSITY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MANAGER,DENTAL BILLING",
        "authorized_official_telephone_number": "304-293-2240"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY HEALTH ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.