NPIMap

Organization Active NPI

Larson and Roelofs Family Dentistry Inc

  • Dentist
  • Richmond, VA
National Provider Identifier
1003934464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401006445 Issued in VA
Legal business name
LARSON AND ROELOFS FAMILY DENTISTRY INC
Practice address
9327 Midlothian Turnpike
Suite 1a
Richmond, VA 23235-4965
Phone
(804) 323-3944
Fax
(804) 323-6007
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David J Larson, DDSNPI 1619909926
Title
President
Phone
(804) 323-3944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401006445 VA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401006446 VA

Addresses

Primary practice location

9327 Midlothian Turnpike
Suite 1a
Richmond, VA 23235-4965

Mailing address

9327 Midlothian Turnpike
Suite 1a
Richmond, VA 23235-4965
Phone (804) 323-3944

National Provider Directory

National Provider Directory

Locations

9327 Midlothian Tpke
Ste 1A
North Chesterfield, VA 23235
Phone (804) 323-3944

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003934464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9327 MIDLOTHIAN TURNPIKE",
            "address_2": "SUITE 1A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354965",
            "telephone_number": "804-323-3944",
            "fax_number": "804-323-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 MIDLOTHIAN TURNPIKE",
            "address_2": "SUITE 1A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354965",
            "telephone_number": "804-323-3944",
            "fax_number": "804-323-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON AND ROELOFS FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-323-3944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006445",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.