Organization Active NPI

Tom Honaker DDS PLLC

  • Dental Clinic/Center
  • Bluefield, WV
National Provider Identifier
1972148229
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOM HONAKER DDS PLLC
Practice address
1717 Jefferson St
Bluefield, WV 24701-4013
Phone
(304) 327-2471
NPI assigned
Nov 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Dr. Thomas Honaker, DDSNPI 1609819176
Title
Sole Member
Phone
(304) 327-2471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1717 Jefferson St
Bluefield, WV 24701-4013

Mailing address

1717 Jefferson St
Bluefield, WV 24701-4013
Phone (304) 327-2471

Other identifiers 1

IdentifierTypeStateIssuer
3544OtherWVWV DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

1717 Jefferson St
Bluefield, WV 24701
Phone (304) 327-2471

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1972148229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 JEFFERSON ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014013",
            "telephone_number": "304-327-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 JEFFERSON ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014013",
            "telephone_number": "304-327-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM HONAKER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "HONAKER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "304-327-2471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DENTAL LICENSE",
            "identifier": "3544",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.