Ashley Raine Noah, DDS
Individual provider Active NPI Dentist · Grantsville, WV
NPI 1982397501 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1982397501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4629 (WV)
- Practice address
- 186 Hospital Dr
Grantsville, WV 26147-7100 - Phone
- (924) 430-4354
- NPI assigned
- May 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230726002828 | WV | Practitioner - Dentist | 4587025317 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4629 | WV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnie Hamilton Health Care Center, Inc. | Current |
Accepting new patients | |
| Minnie Hamilton Health Care Center, Inc. | Current |
Accepting new patients | |
| Minnie Hamilton Health Care Center, Inc. | Past | Accepting new patients | |
| Minnie Hamilton Health Care Center, Inc. | Past | Accepting new patients | |
| Minnie Hamilton Health Care Center Inc | Past | Accepting new patients |
Locations
921 Mineral Rd
Ste 101
Glenville, WV 26351
Phone (304) 462-7322
186 Hospital Dr
Grantsville, WV 26147
Phone (304) 354-9244
Interoperability endpoints
- ashley.noah.1@14266.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4629 | WV | Yes |
Addresses
Primary practice location
186 Hospital Dr
Grantsville, WV 26147-7100
Mailing address
186 Hospital Dr
Grantsville, WV 26147-7100
Phone (304) 594-5999
Other providers in Grantsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.