Colonial Heights Dental Care, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412257 Issued in VA

Legal business name

COLONIAL HEIGHTS DENTAL CARE, INC.

Practice address

2018 Boulevard
Colonial Heights, VA 23834-2310

Phone

(804) 520-1741

Fax

(804) 520-4750

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Basiony Hagar, D.D.S.

Title

Doctor

Phone

(804) 520-1741

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Alaa Elkhatib, DDS

  • Dentist
  • Ruther Glen, VA
  • NPI 1477220580
  NPD (past)
• Raymond Lee Meade, D.D.S.

  • Dentist
  • Colonial Heights, VA
  • NPI 1083659023
  NPD (past)

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1003352931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342310",
            "telephone_number": "804-520-1741",
            "fax_number": "804-520-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342310",
            "telephone_number": "804-520-1741",
            "fax_number": "804-520-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HEIGHTS DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "HAGAR",
        "authorized_official_first_name": "BASIONY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "804-520-1741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Vision Corporation
• Cynthia Cole
• Collaborative Arthritis Care, Inc
• Colonial Heights Chiropractic and Wellness Center, Inc.
• Colonial Heights City Schools
• Colonial Heights Operations, LLC
• Colonial Heights Operator LLC
• Colonial Heights Pediatrics LTD.
• Colonial Heights Pharmacy Inc
• Colonial Heights Pharmacy Inc

• General Practice Dentistry in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.