Active NPI
Gary Brian Eves, D.D.S.
- General Practice Dentistry
- Lavalette, WV
National Provider Identifier
1760537591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3218
- Practice address
- 4602 RT 152
Lavalette, WV 25535 - Phone
- (304) 523-2332
- Fax
- (304) 523-0681
- NPI assigned
- Jan 24, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3218 | WV | Primary |
Addresses
Primary practice location
4602 RT 152
Lavalette, WV 25535
Mailing address
PO Box 599
4602 RT 152
Lavalette, WV 25535
Phone (304) 523-2332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0134173000 | Medicaid | WV |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G. Brian Eves, D.D.S. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Lavalette, WV
- NPI 1023395332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760537591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 599",
"address_2": "4602 RT 152",
"city": "LAVALETTE",
"state": "WV",
"postal_code": "25535",
"telephone_number": "304-523-2332",
"fax_number": "304-523-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 RT 152",
"city": "LAVALETTE",
"state": "WV",
"postal_code": "25535",
"telephone_number": "304-523-2332",
"fax_number": "304-523-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVES",
"first_name": "GARY",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "3218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0134173000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lavalette, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.