RICHARD DIAZ, DDS INC. (NPI# 1700807856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700807856 |
| Entity Type | Organization |
| Organization Name | RICHARD DIAZ, DDS INC. |
| Practice Address |
115 S Charles St Charles Town WV 25414-1613 |
| Practice Telephone | 3047254492 |
| Practice Fax Number | 3047259700 |
| Mailing Telephone | 3047254492 |
| Mailing Fax Number | 3047259700 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD DIAZ (PRESIDENT) |
| Authorized Official Telephone | 3047254492 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2571 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0136653000 | 05 |
| Street Address |
115 S CHARLES ST |
| City | CHARLES TOWN |
| State | WV |
| Zip Code | 25414-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801817952 | Vicki L Woodyard | Dentist | 115 S Charles St, Charles Town, WV 25414-1613 | 2006-07-22 |
| 1538785522 | Christopher Mason Payne | Dentist | 115 S Charles St, Charles Town, WV 25414-1613 | 2020-06-25 |
| 1760406706 | Richard Nelson Diaz | Dentist | 115 S Charles St, Charles Town, WV 25414 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687478 | E & A Pediatric Home Health Services | Home Health | 207 W. Washington Street, Charles Town, WV 25414 | 2020-10-23 |
| 1013435668 | Ashley Wertman | Physical Therapist | 46 Trifecta Place Ste 104, Charlestown, WV 25414 | 2017-09-05 |
| 1053763532 | Lisa Craft | Social Worker | 138 Wall Street, Charles Town, WV 25414 | 2016-07-07 |
| 1053782227 | Charles William Fellers Jr. | Physical Therapy Assistant | 50 Mulberry St, Charles Town, WV 25414 | 2015-10-14 |
| 1881015055 | Sara Fragale | Student in an Organized Health Care Education/Training Program | 100 Mordington Avenue, Charles Town, WV 25414 | 2013-12-13 |
| 1548519879 | Priyankar Sharma | Family Medicine | University Urgent Care, 912 Somerset Blvd., Suitre 102, Charles Town, WV 25414 | 2012-08-31 |
| 1528316957 | Citizens Fire Company | Ambulance | 245 Citizens Way, Charles Town, WV 25414 | 2012-08-15 |
| 1609101682 | Wendy K Joseph | Speech-Language Pathologist | 109 South College Street, Resa Viii, Martinsburg, WV 25414 | 2009-10-09 |
| 1457595738 | Brittany C Lamb | Speech-Language Pathologist | 50 Mulberry St., Charles Town, WV 25414 | 2009-04-30 |
| 1578703138 | Allison E Miller | Speech-Language Pathologist | 110 Ashby Street, Jefferson County Board of Education, Charles Town, WV 25414 | 2009-02-23 |
| Find all providers in zip 25414 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366629677 | Jack Ronald Chambers II | Dentist | 201 Augustine Avenue, Charles Town, WV 25414 | 2008-01-29 |
| 1558581272 | Joanna Susan Luciano Parker | Dentist | 46 Trifecta Pl Ste 102, Charles Town, WV 25414-4958 | 2007-04-26 |
| 1801817952 | Vicki L Woodyard | Dentist | 115 S Charles St, Charles Town, WV 25414-1613 | 2006-07-22 |
| 1285650440 | Kenneth Lionel Psillas | Dentist | 116 W Washington St Ste 3b, Charles Town, WV 25414-1543 | 2006-07-14 |
| 1538785522 | Christopher Mason Payne | Dentist | 115 S Charles St, Charles Town, WV 25414-1613 | 2020-06-25 |
| 1750876710 | Jessica Ho | Dentist | 46 Trifecta Pl Ste 102, Charles Town, WV 25414-5652 | 2018-06-22 |
| 1790174282 | Anne Marie Pallay | Dentist | 46 Trifecta Pl, Suite 102, Charles Town, WV 25414-5652 | 2015-01-21 |
| 1366865552 | Joanna S. Luciano Parker, Dds, Pllc | Dentist | 46 Trifecta Pl Ste 102, Charles Town, WV 25414-5652 | 2014-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
| 1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
| 1063038677 | Angela Nicole Stowers | Dentist | 2601 1st Ave, Nitro, WV 25143-1713 | 2020-06-19 |
| 1700400231 | Tyler Reed Myers | Dentist | 45 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2020-06-01 |
| 1245871326 | Mason Bishop | Dentist | 402 Red Oak St, Summersville, WV 26651-1000 | 2019-09-30 |
| 1710547039 | Christopher Stephen Mallow | Dentist | 9030 Petersburg Pike, Upper Tract, WV 26866-8014 | 2019-06-18 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1235797804 | Brennan Matthew Wood | Dentist | 142 Holiday Ln, Lewisburg, WV 24901-9315 | 2019-05-30 |
| 1568923837 | Yulia Meadows | Dentist | 8 Middletown Rd, Fairmont, WV 26554-8102 | 2019-03-28 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
| City | CHARLES TOWN |
| Zip Code | 25414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.