Individual provider Active NPI

Franklin Pierce Short Jr., D.D.S.

  • General Practice Dentistry
  • Oceana, WV
National Provider Identifier
1942325741
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2497 Issued in WV
Practice address
RT. 10, Cook Parkway
Oceana, WV 24870-1330
Phone
(304) 682-8287
Fax
(304) 682-8388
NPI assigned
Mar 20, 2007
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 2497 WV Primary

Addresses

Primary practice location

RT. 10, Cook Parkway
Oceana, WV 24870-1330

Mailing address

RT. 10, Cook Parkway
Oceana, WV 24870-1330
Phone (304) 682-8287

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
I20160502001866 WV Order and Referring Only - DentistPractitioner - Dentist 4284933995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2497WVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942325741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT. 10, COOK PARKWAY",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "248701330",
            "telephone_number": "304-682-8287",
            "fax_number": "304-682-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT. 10, COOK PARKWAY",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "248701330",
            "telephone_number": "304-682-8287",
            "fax_number": "304-682-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "FRANKLIN",
        "middle_name": "PIERCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceana, WV

Sources for this page

Verify at the official NPI Registry.