Organization Active NPI

New Martinsville Dental PLLC

  • General Practice Dentistry
  • New Martinsville, WV
National Provider Identifier
1801402185
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEW MARTINSVILLE DENTAL PLLC
Doing business as
New Martinsville Dental
Practice address
700 Kevin Dr
New Martinsville, WV 26155-2757
Phone
(304) 455-2030
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Andrea M Lockhart, DDSNPI 1649709858
Title
Member/Owner
Phone
(304) 455-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

700 Kevin Dr
New Martinsville, WV 26155-2757

Mailing address

700 Kevin Dr
New Martinsville, WV 26155-2757

Other names 1

  • New Martinsville Dental Doing business as

National Provider Directory

National Provider Directory

Locations

700 Kevin Dr
North Martinsvlle, WV 26155
Phone (304) 455-2030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1801402185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 KEVIN DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KEVIN DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552757",
            "telephone_number": "304-455-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MARTINSVILLE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "304-455-2030",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Martinsville Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Martinsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.