Organization Active NPI

Roy E Day

Doing business as Pediatric Dentistry

  • Pediatric Dentistry
  • Morgantown, WV
National Provider Identifier
1922169978
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2116 Issued in WV
Legal business name
ROY E DAY
Doing business as
Pediatric Dentistry
Practice address
3000 Hampton Ctr
Suite B
Morgantown, WV 26505-1708
Phone
(304) 599-5000
Fax
(304) 599-6629
NPI assigned
Dec 13, 2006
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Roy E Day, DDS
Title
Pediatric Dentist
Phone
(304) 599-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3596 WV
Pediatric Dentistry 1223P0221X 2116 WV Primary

Addresses

Primary practice location

3000 Hampton Ctr
Suite B
Morgantown, WV 26505-1708

Mailing address

3000 Hampton Ctr
Suite B
Morgantown, WV 26505-1708
Phone (304) 599-5000

Other identifiers 2

IdentifierTypeStateIssuer
0012779000MedicaidWV
01525386OtherWVUNITED CONCORDIA GROUP

Other names 1

  • Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3000 Hampton Ctr
Ste B
Morgantown, WV 26505
Phone (304) 599-5000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1922169978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HAMPTON CTR",
            "address_2": "SUITE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051708",
            "telephone_number": "304-599-5000",
            "fax_number": "304-599-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HAMPTON CTR",
            "address_2": "SUITE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051708",
            "telephone_number": "304-599-5000",
            "fax_number": "304-599-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY E DAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "304-599-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3596",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WV",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012779000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA GROUP",
            "identifier": "01525386",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.