Individual provider Active NPI

Philip D High

  • Oral and Maxillofacial Pathology Dentistry
  • Wheeling, WV
National Provider Identifier
1902892698
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
2039 Issued in WV
Practice address
1203 Mount de Chantal Rd
Ste 1
Wheeling, WV 26003-6332
Phone
(304) 243-5671
Fax
(304) 243-0642
NPI assigned
Sep 27, 2005
Reactivated
Apr 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 2039 WV Primary

Addresses

Primary practice location

1203 Mount de Chantal Rd
Ste 1
Wheeling, WV 26003-6332

Mailing address

1203 Mount de Chantal Rd
Ste 1
Wheeling, WV 26003-6332
Phone (304) 243-5671

Other identifiers 2

IdentifierTypeStateIssuer
0138210000MedicaidWV
2039OtherWVLICENSE NO

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000482 WV Practitioner - Maxillofacial Surgery 1951578657 Practice locations: Wheeling, WV

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
West Virginia University School of Dentistry, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1203 Mount de Chantal Rd
Suite 1
Wheeling, WV 26003-6332
Phone (304) 243-5671

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2039WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philipd High, DDS., Inc Oral and Maxillofacial Pathology PastSince Jul 1, 1966 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902892698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 MOUNT DE CHANTAL RD",
            "address_2": "STE 1",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036332",
            "telephone_number": "304-243-5671",
            "fax_number": "304-243-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 MOUNT DE CHANTAL RD",
            "address_2": "STE 1",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036332",
            "telephone_number": "304-243-5671",
            "fax_number": "304-243-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGH",
        "first_name": "PHILIP",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WV",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138210000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "2039",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.