Organization Active NPI

Chelyan Dental, PLLC

  • General Practice Dentistry
  • Cabin Creek, WV
National Provider Identifier
1972316115
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHELYAN DENTAL, PLLC
Practice address
15081 Maccorkle Avnenue
Cabin Creek, WV 25083
Phone
(681) 221-7313
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Steven Amos Ghareeb, DDS
Title
Owner/Doctor
Phone
(304) 610-9973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15081 Maccorkle Avnenue
Cabin Creek, WV 25083

Mailing address

105 B St
Saint Albans, WV 25177-1806
Phone (304) 415-6474

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1972316115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 B ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251771806",
            "telephone_number": "304-415-6474",
            "fax_number": "304-744-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15081 MACCORKLE AVNENUE",
            "city": "CABIN CREEK",
            "state": "WV",
            "postal_code": "25083",
            "telephone_number": "681-221-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELYAN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "GHAREEB",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "AMOS",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "304-610-9973",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabin Creek, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.