NPIMap

Organization Active NPI

Central Virginia Dental Care PLC

  • General Practice Dentistry
  • South Chesterfield, VA
National Provider Identifier
1063960649
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CENTRAL VIRGINIA DENTAL CARE PLC
Practice address
1206 Pondola LN
South Chesterfield, VA 23834-1636
Phone
(804) 897-3600
NPI assigned
Sep 13, 2016
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Mrs. Lauri Henderson
Title
Administrative Assistant
Phone
(804) 363-4283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1206 Pondola LN
South Chesterfield, VA 23834-1636

Mailing address

1206 Pondola LN
South Chesterfield, VA 23834-1636
Phone (804) 897-3600

National Provider Directory

National Provider Directory

Locations

15871 City View Dr
Ste 200
Midlothian, VA 23113
Phone (804) 897-5900

Ownership & related parties

Subparts reporting this organization as parent 50

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1063960649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 PONDOLA LN",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238341636",
            "telephone_number": "804-897-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 PONDOLA LN",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238341636",
            "telephone_number": "804-897-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "804-363-4283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.