Individual provider Active NPI

Joshua Scott Abbott, DDS

  • Dentist
  • Green Bank, WV
National Provider Identifier
1891041406
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4009 Issued in WV
Practice address
6404 Potomac Highland Trail
Green Bank, WV 24944-6404
Phone
(304) 456-5433
Fax
(304) 456-5439
NPI assigned
Aug 1, 2012
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4009 WV Primary

Addresses

Primary practice location

6404 Potomac Highland Trail
Green Bank, WV 24944-6404

Mailing address

6404 Potomac Highland Trail
Green Bank, WV 24944-6404
Phone (304) 456-5433

Other identifiers 1

IdentifierTypeStateIssuer
4009OtherWVWV STATE LICENSE

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
I20121211000330 WV Practitioner - Oral Surgery 0648422030 Reassigns benefits to 25 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Apr 11, 2017 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Apr 11, 2017 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Apr 11, 2017 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Feb 18, 2018 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Apr 11, 2017 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Apr 11, 2017 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Apr 11, 2017 Accepting new patients
Community Care of West Virginia Inc CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Dec 30, 2017 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 10, 2017 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 15, 2018 Accepting new patients
Community Care of West Virginia, Inc. PastSince Jan 5, 2013 Accepting new patients

Locations

250 Worthington Dr
Bridgeport, WV 26330
Phone (304) 326-7060

16 College Ave
Buckhannon, WV 26201
Phone (304) 472-3310

50 Bu Dr
Buckhannon, WV 26201
Phone (304) 472-8333

228 Kanawha Ave
Burnsville, WV 26335
Phone (304) 713-3105

1 Eagle Way
#C
Clarksburg, WV 26301

443 Lee Ave
Clarksburg, WV 26301
Phone (304) 326-7420

271 Warrior Way
Dunmore, WV 24934
Phone (304) 799-0515

142 Flatwoods Corner Rd
Flatwoods, WV 26621
Phone (304) 402-2023

113 5th St
Gassaway, WV 26624
Phone (304) 364-5867

6536 Main St
Jane Lew, WV 26378
Phone (304) 884-2307

926 5th Ave
Ste A
Marlinton, WV 24954
Phone (304) 799-4916

1302 Buckhannon Pike
Nutter Fort, WV 26301
Phone (304) 326-7501

1176 Oil Creek Rd
Roanoke, WV 26447
Phone (304) 452-0001

200 Tetrick Rd
Shinnston, WV 26431
Phone (304) 326-7280

100 Carter Braxton Dr
Sutton, WV 26601
Phone (304) 765-2644

200 Jerry Burton Dr
Sutton, WV 26601
Phone (304) 765-7331

249 Skidmore Ln
Sutton, WV 26601
Phone (304) 317-7275

288 N Hill Rd
Sutton, WV 26601
Phone (304) 402-2105

182 School St
West Milford, WV 26451
Phone (304) 745-5739

358 Court Ave
Weston, WV 26452
Phone (304) 269-0041

509 Berlin Rd
Weston, WV 26452
Phone (304) 269-0029

Interoperability endpoints

  • Direct secure messaging: joshua.abbott.1@4803.direct.athenahealth.com

Organizations & group practices 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1891041406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 POTOMAC HIGHLAND TRAIL",
            "city": "GREEN BANK",
            "state": "WV",
            "postal_code": "249446404",
            "telephone_number": "304-456-5433",
            "fax_number": "304-456-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 POTOMAC HIGHLAND TRAIL",
            "city": "GREEN BANK",
            "state": "WV",
            "postal_code": "249446404",
            "telephone_number": "304-456-5433",
            "fax_number": "304-456-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "JOSHUA",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV STATE LICENSE",
            "identifier": "4009",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bank, WV

Sources for this page

Verify at the official NPI Registry.