NPIMap

Organization Active NPI

Morrison Dental Group Midlothian PLLC

  • Dental Clinic/Center
  • Midlothian, VA
National Provider Identifier
1043936214
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MORRISON DENTAL GROUP MIDLOTHIAN PLLC
Practice address
13860 Raised Antler Cir Ste B
Midlothian, VA 23112-7627
Phone
(804) 739-6163
NPI assigned
Oct 18, 2022
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Celeste Vaughn
Title
Executive Assistant
Phone
(573) 036-1727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13860 Raised Antler Cir Ste B
Midlothian, VA 23112-7627

Mailing address

13860 Raised Antler Cir Ste B
Midlothian, VA 23112-7627
Phone (804) 739-6163

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.morrisondentalgroup.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

13860 Raised Antler Cir
Midlothian, VA 23112
Phone (804) 206-9029

13860 Raised Antler Cir
Ste B
Midlothian, VA 23112
Phone (804) 739-6163

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1043936214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13860 RAISED ANTLER CIR STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231127627",
            "telephone_number": "804-739-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13860 RAISED ANTLER CIR STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231127627",
            "telephone_number": "804-739-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON DENTAL GROUP MIDLOTHIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "573-036-1727"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.morrisondentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13860 Raised Antler Cir",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231127627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 9, 2023; 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.