NPIMap

Organization Active NPI

Northumberland County Dental Clinic

Doing business as Three Rivers Health District

  • Public Health or Welfare Agency
  • Heathsville, VA
National Provider Identifier
1003928938
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
0401004548 Issued in VA
Legal business name
NORTHUMBERLAND COUNTY DENTAL CLINIC
Doing business as
Three Rivers Health District
Practice address
6373 Northumberland Hwy - Suite B
Heathsville, VA 22473
Phone
(804) 758-2381
Fax
(804) 758-4828
NPI assigned
Aug 31, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
THREE RIVERS HEALTH DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Daniel Lawrence, DDS
Title
Health Dept Dentist
Phone
(804) 758-2381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 0401004548 VA Primary

Addresses

Primary practice location

6373 Northumberland Hwy - Suite B
Heathsville, VA 22473

Mailing address

6373 Northumberland Hwy - Suite B
P O Box 69
Heathsville, VA 22473
Phone (804) 758-2381

Other identifiers 2

IdentifierTypeStateIssuer
8451176MedicaidVA
106879OtherVADORAL (VA SMILES)

Other names 1

  • THREE RIVERS HEALTH DISTRICT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dickenson Co Health Dep163 organizations share this tax ID, including this one
Part of
Dickenson Co Health Dep

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1003928938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6373 NORTHUMBERLAND HWY - SUITE B",
            "address_2": "P O BOX 69",
            "city": "HEATHSVILLE",
            "state": "VA",
            "postal_code": "22473",
            "telephone_number": "804-758-2381",
            "fax_number": "804-758-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6373 NORTHUMBERLAND HWY - SUITE B",
            "city": "HEATHSVILLE",
            "state": "VA",
            "postal_code": "22473",
            "telephone_number": "804-758-2381",
            "fax_number": "804-758-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHUMBERLAND COUNTY DENTAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE RIVERS HEALTH DISTRICT",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "HEALTH DEPT DENTIST",
        "authorized_official_telephone_number": "804-758-2381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "VA",
            "license": "0401004548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8451176",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL (VA SMILES)",
            "identifier": "106879",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE RIVERS HEALTH DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Heathsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.