Individual provider Active NPI

Edward L Linger, DDS

  • General Practice Dentistry
  • Elkins, WV
National Provider Identifier
1891895199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3468 Issued in WV
Practice address
1510 Harrison Ave
Elkins, WV 26241-8500
Phone
(304) 636-2009
Fax
(304) 636-0109
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3468 WV Primary

Addresses

Primary practice location

1510 Harrison Ave
Elkins, WV 26241-8500

Mailing address

516 Cost Ave
Stonewood, WV 26301-4811
Phone (304) 624-5250

Other identifiers 1

IdentifierTypeStateIssuer
3810001854OtherWVWV DENTAL MEDICAL CARD

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
I20150722003983 WV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597078311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3468WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Wilson and Martino of Elkins General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891895199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 COST AVE",
            "city": "STONEWOOD",
            "state": "WV",
            "postal_code": "263014811",
            "telephone_number": "304-624-5250",
            "fax_number": "304-624-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262418500",
            "telephone_number": "304-636-2009",
            "fax_number": "304-636-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGER",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DENTAL MEDICAL CARD",
            "identifier": "3810001854",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.