Individual provider Active NPI

Margaret J Jones, DDS

  • General Practice Dentistry
  • Fayetteville, WV
National Provider Identifier
1821550260
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WV4411 Issued in WV
Practice address
138 Lively St
Fayetteville, WV 25840-1148
Phone
(304) 574-0424
Fax
(304) 574-2102
NPI assigned
Apr 4, 2019
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WV4411 WV Primary

Addresses

Primary practice location

138 Lively St
Fayetteville, WV 25840-1148

Mailing address

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 293-2841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202003677 WV Order and Referring Only - DentistPractitioner - Dentist 2163957978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WV4411WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cassis Dental Center, PLLC General Practice CurrentSince Mar 21, 2021 Accepting new patients
Bruce L. Cassis General Practice PastSince Mar 21, 2021 Accepting new patients

Locations

138 Lively St
Fayetteville, WV 25840
Phone (304) 574-0424

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1821550260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-293-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 LIVELY ST",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401148",
            "telephone_number": "304-574-0424",
            "fax_number": "304-574-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARGARET",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, WV

Sources for this page

Verify at the official NPI Registry.