Individual provider Active NPI

Ashley Raine Noah, DDS

  • Dentist
  • Grantsville, WV
National Provider Identifier
1982397501
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4629 Issued in WV
Practice address
186 Hospital Dr
Grantsville, WV 26147-7100
Phone
(924) 430-4354
NPI assigned
May 30, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4629 WV Primary

Addresses

Primary practice location

186 Hospital Dr
Grantsville, WV 26147-7100

Mailing address

186 Hospital Dr
Grantsville, WV 26147-7100
Phone (304) 594-5999

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
I20230726002828 WV Practitioner - Dentist 4587025317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minnie Hamilton Health Care Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Minnie Hamilton Health Care Center, Inc. CurrentSince Jul 1, 2023 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

  • Direct secure messaging: ashley.noah.1@14266.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1982397501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DR",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "304-594-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DR",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "924-430-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOAH",
        "first_name": "ASHLEY",
        "middle_name": "RAINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, WV

Sources for this page

Verify at the official NPI Registry.