Active NPI
Richard Joseph Jurevic, DDS, PHD.
- Dentist
- Morgantown, WV
National Provider Identifier
1841622719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4050
- Practice address
- 1 Med Center Dr
Morgantown, WV 26505-4501 - Phone
- (304) 293-1142
- NPI assigned
- Aug 2, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4050 | WV | Primary |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 4050 | WV |
Addresses
Primary practice location
1 Med Center Dr
Morgantown, WV 26505-4501
Mailing address
1 Med Center Dr
Morgantown, WV 26505-4501
Phone (304) 293-1142
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1841622719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MED CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265054501",
"telephone_number": "304-293-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MED CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265054501",
"telephone_number": "304-293-1142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUREVIC",
"first_name": "RICHARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS, PHD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4050",
"primary": true
},
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "WV",
"license": "4050",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.