NPIMap

Organization Active NPI

Woodlake Dental Center

  • General Practice Dentistry
  • Midlothian, VA
National Provider Identifier
1013469980
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WOODLAKE DENTAL CENTER
Practice address
6508 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone
(804) 739-9190
Fax
(804) 739-9543
NPI assigned
Oct 26, 2016
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Dr. Jose E Gallegos, D.D.S.NPI 1326114950
Title
Dentist
Phone
(804) 739-9190

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6508 Woodlake Village Cir
Midlothian, VA 23112-2200

Mailing address

6508 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone (804) 739-9190

National Provider Directory

National Provider Directory
Tax ID family
Jose E Gallegos DDS PC2 organizations share this tax ID, including this one
Part of
Russell Mosher DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6508 Woodlake Village Cir
Midlothian, VA 23112
Phone (804) 739-9190

Practitioners & affiliated clinicians

Practitioners 3

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": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1013469980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 WOODLAKE VILLAGE CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122200",
            "telephone_number": "804-739-9190",
            "fax_number": "804-739-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 WOODLAKE VILLAGE CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122200",
            "telephone_number": "804-739-9190",
            "fax_number": "804-739-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE DENTAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-739-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.