Individual provider Active NPI

Thomas A Eschenroeder, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Midlothian, VA
National Provider Identifier
1063462869
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401006867 Issued in VA
Practice address
1807 Huguenot Rd
Suite 120
Midlothian, VA 23113-5604
Phone
(804) 354-1600
Fax
(804) 354-1607
NPI assigned
May 11, 2006
Last updated
Jun 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401006867 VA Primary

Addresses

Primary practice location

1807 Huguenot Rd
Suite 120
Midlothian, VA 23113-5604

Mailing address

PO Box 71930
Richmond, VA 23255-1930
Phone (804) 354-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000936 VA Practitioner - Maxillofacial Surgery 3971505082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Oral & Facial Surgery, PC Oral and Maxillofacial Surgery CurrentSince Jan 1, 1990 Accepting new patients

Locations

3811 Westerre Pkwy
Ste A
Henrico, VA 23233

1807 Huguenot Rd
Ste 120
Midlothian, VA 23113
Phone (804) 354-1602

8503 Patterson Ave
Ste A
Richmond, VA 23229
Phone (804) 354-1650

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1063462869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71930",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232551930",
            "telephone_number": "804-354-1600",
            "fax_number": "804-354-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 HUGUENOT RD",
            "address_2": "SUITE 120",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135604",
            "telephone_number": "804-354-1600",
            "fax_number": "804-354-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHENROEDER",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401006867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.