Active NPI
Anne Marie Pallay, DMD
- General Practice Dentistry
- Charles Town, WV
National Provider Identifier
1790174282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3147
- Practice address
- 46 Trifecta PL
Suite 102
Charles Town, WV 25414-5652 - Phone
- (304) 725-0508
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- 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 | 3147 | WV | Primary |
Addresses
Primary practice location
46 Trifecta PL
Suite 102
Charles Town, WV 25414-5652
Mailing address
46 Trifecta PL
Suite 102
Charles Town, WV 25414-5652
Phone (304) 725-0508
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 |
|---|---|---|---|
| 3147 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joanna S. Luciano Parker, DDS, PLLC | 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
- Charles Town, WV
- NPI 1366865552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1790174282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 TRIFECTA PL",
"address_2": "SUITE 102",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254145652",
"telephone_number": "304-725-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 TRIFECTA PL",
"address_2": "SUITE 102",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254145652",
"telephone_number": "304-725-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLAY",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "3147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charles Town, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.