Organization Active NPI

Erica B. Patthoff, DDS, PLLC

  • Dental Clinic/Center
  • Martinsburg, WV
National Provider Identifier
1992284335
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3624 Issued in WV
Legal business name
ERICA B. PATTHOFF, DDS, PLLC
Practice address
300 Foxcroft Ave Ste 302
Martinsburg, WV 25401-5341
Phone
(304) 263-0411
Fax
(304) 263-3288
NPI assigned
Aug 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Mrs. Michelle Coffey
Title
Office Manager
Phone
(304) 263-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3624 WV Primary

Addresses

Primary practice location

300 Foxcroft Ave Ste 302
Martinsburg, WV 25401-5341

Mailing address

300 Foxcroft Ave Ste 302
Martinsburg, WV 25401-5341
Phone (304) 263-0411

Other identifiers 1

IdentifierTypeStateIssuer
3810012339MedicaidWV

National Provider Directory

National Provider Directory

Locations

300 Foxcroft Ave
Ste 302
Martinsburg, WV 25401
Phone (304) 263-0411

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1992284335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOXCROFT AVE STE 302",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015341",
            "telephone_number": "304-263-0411",
            "fax_number": "304-263-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOXCROFT AVE STE 302",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015341",
            "telephone_number": "304-263-0411",
            "fax_number": "304-263-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA B. PATTHOFF, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-263-0411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WV",
            "license": "3624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012339",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.