Organization Active NPI

Theodore R. Motes, DDS

  • Dentist
  • Ripley, WV
National Provider Identifier
1982063111
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2681 Issued in WV
Legal business name
THEODORE R. MOTES, DDS
Practice address
621 Church St N
Ripley, WV 25271-8444
Phone
(304) 372-4011
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Dr. Theodore R Motes, DDS
Title
Owner
Phone
(304) 372-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2681 WV Primary

Addresses

Primary practice location

621 Church St N
Ripley, WV 25271-8444

Mailing address

621 Church St N
PO Box 767
Ripley, WV 25271-8444
Phone (304) 372-4011

Other identifiers 1

IdentifierTypeStateIssuer
0136906000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1982063111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CHURCH ST N",
            "address_2": "PO BOX 767",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252718444",
            "telephone_number": "304-372-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CHURCH ST N",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252718444",
            "telephone_number": "304-372-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE R. MOTES, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "MOTES",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-372-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136906000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.