Organization Active NPI

Teays Dental Care

  • Dentist
  • Hurricane, WV
National Provider Identifier
1801069042
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WV3511 Issued in WV
Legal business name
TEAYS DENTAL CARE
Practice address
3860 Teays Valley Rd
Suite 5
Hurricane, WV 25526-9772
Phone
(304) 757-1000
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Joseph M Muto II, DDS
Title
Co-Owner/Dentist
Phone
(304) 757-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X WV3511 WV Primary

Addresses

Primary practice location

3860 Teays Valley Rd
Suite 5
Hurricane, WV 25526-9772

Mailing address

3860 Teays Valley Rd
Suite 5
Hurricane, WV 25526-9772
Phone (304) 757-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1801069042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 TEAYS VALLEY RD",
            "address_2": "SUITE 5",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269772",
            "telephone_number": "304-757-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 TEAYS VALLEY RD",
            "address_2": "SUITE 5",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269772",
            "telephone_number": "304-757-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAYS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MUTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER/DENTIST",
        "authorized_official_telephone_number": "304-757-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "WV3511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.