Individual provider Active NPI

Seth Nathaniel Hamrick, DDS

  • General Practice Dentistry
  • Craigsville, WV
National Provider Identifier
1861049686
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4429 Issued in WV
Practice address
16414 Webster Rd
Craigsville, WV 26205-8512
Phone
(304) 742-3004
Fax
(304) 742-3014
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 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 4429 WV Primary

Addresses

Primary practice location

16414 Webster Rd
Craigsville, WV 26205-8512

Mailing address

10003 Webster Rd
Camden on Gauley, WV 26208-7713
Phone (304) 226-5725

Other practice location 1

10003 Webster Rd
Camden ON Gauley, WV 26208-7713
Phone (304) 226-5725

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
I20200429001019 WV Practitioner - Dentist 6709216070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc. Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Mar 1, 2020 Accepting new patients
Camden on Gauley Medical Center, Inc. Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center, Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center, Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients

Locations

10003 Webster Rd
Camden on Gly, WV 26208
Phone (304) 266-5725

16414 Webster Rd
Craigsville, WV 26205
Phone (304) 742-3004

Organizations & group practices 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1861049686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 WEBSTER RD",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262087713",
            "telephone_number": "304-226-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16414 WEBSTER RD",
            "city": "CRAIGSVILLE",
            "state": "WV",
            "postal_code": "262058512",
            "telephone_number": "304-742-3004",
            "fax_number": "304-742-3014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10003 Webster Rd",
            "address_purpose": "LOCATION",
            "city": "Camden ON Gauley",
            "state": "WV",
            "postal_code": "262087713",
            "country_code": "US",
            "telephone_number": "304-226-5725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "SETH",
        "middle_name": "NATHANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Craigsville, WV

Sources for this page

Verify at the official NPI Registry.