Active NPI
Edwin Victor Kluth, DDS MS
- Prosthodontics
- Wheeling, WV
National Provider Identifier
1841209574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- WV2086
- Practice address
- 21 12TH Street
Suite 305
Wheeling, WV 26003-3269 - Phone
- (304) 233-4246
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | WV2086 | WV | Primary |
Addresses
Primary practice location
21 12TH Street
Suite 305
Wheeling, WV 26003-3269
Mailing address
21 12TH Street
Suite 305
Wheeling, WV 26003-3269
Phone (304) 233-4246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0138765000 | Medicaid | WV |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV2086 | WV | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841209574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 12TH STREET",
"address_2": "SUITE 305",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033269",
"telephone_number": "304-233-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 12TH STREET",
"address_2": "SUITE 305",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033269",
"telephone_number": "304-233-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUTH",
"first_name": "EDWIN",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WV",
"license": "WV2086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0138765000",
"state": "WV"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.