JOSEPH DOUGLAS (NPI# 1992231674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992231674 |
| Entity Type | Individual |
| Full Name | JOSEPH DOUGLAS |
| Credential | DDS |
| Practice Address |
479 Flat Top Rd Shady Spring WV 25918-8614 |
| Practice Telephone | 3047634665 |
| Mailing Telephone | 3047634665 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4277 | WV | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Physicians Plaza, Lochgelly, WV 25866 | 3044694911 | |
| 1616 13th Ave, Huntington, WV 257013840 | 3046916973 | 3046911248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114935426 | Joseph K Douglas | Optometrist | 5025 Shattuck Rd, Saginaw, MI 48603 | 2006-08-03 |
| Street Address |
479 FLAT TOP RD |
| City | SHADY SPRING |
| State | WV |
| Zip Code | 25918-8614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457394447 | Carl Jeffrey Clay | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918-8614 | 2006-06-14 |
| 1952837700 | Angela Douglas | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918-8614 | 2017-05-11 |
| 1598903973 | Clay and Hiener Dentistry Partnership | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918-8614 | 2009-01-23 |
| 1982765517 | C Jeff Clay, D.d.s. Inc. | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868474 | Shane Edward Bragg | Technician | 1520 Irish Mtn Rd, Shady Spring, WV 25918 | 2020-10-13 |
| 1295349587 | Charity Hope Meadows | Technician | 134 Third St, Shady Spring, WV 25918 | 2020-09-03 |
| 1831708080 | Jacqueline J Stewart | Technician | 128 Blue Jay Six Rd, Shady Spring, WV 25918 | 2020-07-23 |
| 1013162999 | Teresa Darlene Hunt | Durable Medical Equipment & Medical Supplies | 286 Pine St, Shady Spring, WV 25918 | 2008-11-19 |
| 1366692782 | Leslie Diane Sisson | Pharmacist | 2795 Ritter Dr, Shady Spring, WV 25918 | 2008-09-22 |
| 1053409540 | Benjamin R Hiener | Dentist | 479 Flat Top Rd., Shady Spring, WV 25918 | 2006-10-10 |
| 1215084785 | Linda Rae Williams | Nurse Anesthetist, Certified Registered | 127 Gilead St, Shady Spring, WV 25918-2004 | 2007-01-05 |
| 1053582361 | Randy Mcmillion | Pharmacist | 1529 Pluto Rd, Shady Spring, WV 25918-8028 | 2008-03-13 |
| 1750999769 | Cassandra N Farmer | Technician | 3814 Pluto Rd, Shady Spring, WV 25918-8055 | 2020-07-15 |
| 1639787997 | Melissa Gail Bragg | Technician | 1278 Irish Mountain Rd, Shady Spring, WV 25918-8171 | 2020-07-22 |
| Find all providers in zip 25918 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952837700 | Angela Douglas | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918-8614 | 2017-05-11 |
| 1598903973 | Clay and Hiener Dentistry Partnership | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918-8614 | 2009-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788078 | Miranda Jordan Kimble | Dentist | 422 Kinetic Dr Ste A, Huntington, WV 25701-5268 | 2020-07-30 |
| 1790303931 | Brennan Bish | Dentist | 451 Kinetic Dr, Huntington, WV 25701-5270 | 2020-07-13 |
| 1225672843 | Adam M. Grubler Dds, Pllc | Dentist | 1160 Johnson Ave Ste 104, Bridgeport, WV 26330-1487 | 2019-11-06 |
| 1073154845 | Sound Sleep Treatments of The Virginias LLC | Dentist | 33 Eagles Rd, Beckley, WV 25801-3643 | 2019-10-03 |
| 1275183998 | Kenan Hatem Hossino | Dentist | 415 Morris St Ste 101, Charleston, WV 25301-1840 | 2019-09-14 |
| 1366094831 | Pooja Chugh | Dentist | 409 Arabela Ct, Morgantown, WV 26508-4266 | 2019-07-15 |
| 1407418072 | Doheum Choi | Dentist | 942 Chestnut Ridge Rd Apt H, Morgantown, WV 26505-3085 | 2019-07-03 |
| 1629635164 | Breana Marie Dieringer | Dentist | 3126 George Washington Hwy, Thornton, WV 26440-7231 | 2019-05-21 |
| 1982190435 | Brian K Farley | Dentist | 1628 W 3rd Ave, Williamson, WV 25661-3007 | 2018-07-09 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| Find all providers with the same taxonomy | ||||
| City | SHADY SPRING |
| Zip Code | 25918 |
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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.