Vcu Diagnostic Services LLC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

VCU DIAGNOSTIC SERVICES LLC

Practice address

520 N 12TH St # 315
Richmond, VA 23298-5064

Phone

(804) 828-9190

Fax

(804) 628-2001

NPI assigned

Jul 9, 2018

Organization subpart

Yes

Parent organization

DENTISTRY VCUAs reported in NPPES

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

Authorized official

Name

Mr. James Donald Parris

Title

Director, Clinical Business Service

Phone

(804) 828-0789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Dentistry Vcu

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dentistry Vcu

  • Dentist
  • Richmond, VA
  • NPI 1790877504
  NPPES parent name

Practitioners 6

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

• Sarah H Glass, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Richmond, VA
  • NPI 1962812305
  Medicare reassignment NPD
• Leigh Griffin, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Richmond, VA
  • NPI 1659801694
  Medicare reassignment NPD
• Duane Robert Schafer, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Richmond, VA
  • NPI 1043211899
  Medicare reassignment NPD
• Laurie Childs Carter, D.D.S.

  • Dentist
  • Richmond, VA
  • NPI 1740482991
  NPD (past)
• Dean M Deluke, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Richmond, VA
  • NPI 1023191038
  NPD (past)
• Aniket Bhaskar Jadhav, DDS, MDS.

  • Dentist
  • Richmond, VA
  • NPI 1295040392
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1003302472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST # 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-828-9190",
            "fax_number": "804-628-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST # 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-828-9190",
            "fax_number": "804-628-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCU DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTISTRY VCU",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "PARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL BUSINESS SERVICE",
        "authorized_official_telephone_number": "804-828-0789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Howard Vaughter, KINESIOTHERAPIST
• Larneil Deloris Vaughter, LCSW
• Rebecca Vauter
• Vcu
• Vcu Dental Faculty Practice, LLC
• Vcu Health Children'S Services at Brook Road
• Vcu Health Children'S Services at Brook Road
• Vcu Oral-Facial Surgery and Services LLC
• Vcu Predoctoral Dental Services LLC
• Vcu School of Dentistry

• Oral and Maxillofacial Pathology Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• Oral and Maxillofacial Pathology Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.