Individual provider Active NPI

Mary Palmer Gioia, DDS

  • Dentist
  • Wheeling, WV
National Provider Identifier
1770828535
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WV2985 Issued in WV
Practice address
1994 Lumber Ave
Wheeling, WV 26003-5371
Phone
(304) 242-8959
Fax
(304) 242-8950
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X WV2985 WV Primary
Dentist 122300000X 19091 OH

Addresses

Primary practice location

1994 Lumber Ave
Wheeling, WV 26003-5371

Mailing address

1994 Lumber Ave
Wheeling, WV 26003-5371
Phone (304) 242-8959

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

LicenseStateTypeSpecialty
19091OHMDDentist
WV2985WVMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1770828535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 LUMBER AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035371",
            "telephone_number": "304-242-8959",
            "fax_number": "304-242-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 LUMBER AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035371",
            "telephone_number": "304-242-8959",
            "fax_number": "304-242-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOIA",
        "first_name": "MARY",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "WV2985",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.