NPIMap

Organization Active NPI

Commonwealth Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Farmville, VA
National Provider Identifier
1063955250
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
COMMONWEALTH PEDIATRIC DENTISTRY, PLLC
Practice address
201 A St
Farmville, VA 23901-1613
Phone
(434) 808-1657
Fax
(434) 710-4030
NPI assigned
Nov 21, 2016
Last updated
Nov 21, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Andrew Zima Jr., DDSNPI 1558511063
Title
Dentist/Owner
Phone
(434) 808-1657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

201 A St
Farmville, VA 23901-1613

Mailing address

201 A St
Farmville, VA 23901-1613
Phone (434) 808-1657

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Pediatric Dentistry PLLC3 organizations share this tax ID, including this one
Part of
DRS Rossetti Cosby Kondrossy DDS LC

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1063955250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 A ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011613",
            "telephone_number": "434-808-1657",
            "fax_number": "434-710-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 A ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011613",
            "telephone_number": "434-808-1657",
            "fax_number": "434-710-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "ZIMA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "434-808-1657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.