Active NPI
Wilson E Ward, DDS
- Dentist
- Charleston, WV
National Provider Identifier
1730159880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1787
- Practice address
- 116 Hills PLZ
Charleston, WV 25387-2438 - Phone
- (304) 414-4493
- Fax
- (304) 720-4813
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1787 | WV | Primary |
Addresses
Primary practice location
116 Hills PLZ
Charleston, WV 25387-2438
Mailing address
301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552
Phone (304) 757-6999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001470512 | Other | WV | MS BCBS |
| 0136119000 | Medicaid | WV | |
| 5462128 | Other | WV | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1730159880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GREAT TEAYS BLVD STE 6",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609552",
"telephone_number": "304-757-6999",
"fax_number": "304-757-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 HILLS PLZ",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253872438",
"telephone_number": "304-414-4493",
"fax_number": "304-720-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "WILSON",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "1787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS BCBS",
"identifier": "001470512",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136119000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5462128",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.