NPIMap

Organization Active NPI

West Stuart Dental Arts Center, P.C.

  • General Practice Dentistry
  • Hillsville, VA
National Provider Identifier
1033355490
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008084 Issued in VA
Legal business name
WEST STUART DENTAL ARTS CENTER, P.C.
Practice address
1192 W Stuart Dr
Hillsville, VA 24343-1520
Phone
(276) 728-2164
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Rita L Bolen
Title
Administrator
Phone
(276) 728-2164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401008084 VA Primary

Addresses

Primary practice location

1192 W Stuart Dr
Hillsville, VA 24343-1520

Mailing address

1192 W Stuart Dr
Hillsville, VA 24343-1520
Phone (276) 728-2164

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1033355490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 W STUART DR",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431520",
            "telephone_number": "276-728-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 W STUART DR",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431520",
            "telephone_number": "276-728-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST STUART DENTAL ARTS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-728-2164"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.