Joseph Douglas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4277 Issued in WV

Practice address

220 Professional Park
Beckley, WV 25801-3624

Phone

(304) 252-7311

NPI assigned

May 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oak Hill, WV
  • NPI 1457846362
  Medicare reassignment NPD
• Douglas Family Dentistry PLLC

  • General Practice Dentistry
  • Beckley, WV
  • NPI 1376420430
  NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scarbro, WV
  • NPI 1811983331
  NPD
• C Jeff Clay, D.D.S. Inc.

  • General Practice Dentistry
  • Shady Spring, WV
  • NPI 1982765517
  NPD (past)
• Clay and Hiener Dentistry Partnership

  • Dentist
  • Shady Spring, WV
  • NPI 1598903973
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1992231674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PROFESSIONAL PARK",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013624",
            "telephone_number": "304-252-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PROFESSIONAL PARK",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013624",
            "telephone_number": "304-252-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dorsey
• Jukey Dotson, PT
• Stephanie Dotson
• Douglas Family Dentistry PLLC
• Haley B Douglas
• Justin Wayne Douglas, MD
• Sandra Douglas
• Amy W Dowdy, D.O.
• Dr L E Syner and Dr W M Wine Assoc in Oral & Maxillofacial Surg Inc,
• Dr. Bose S. Mikkilineni, M.D. Facs

• Dentist in Beckley, WV
• Providers in Beckley, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.