Active NPI
Chesterfield Dental Center
- Dental Clinic/Center
- Richmond, VA
National Provider Identifier
1073786299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 1140507
- Legal business name
- CHESTERFIELD DENTAL CENTER
- Practice address
- 30 Courthouse Rd
Richmond, VA 23236-3124 - Phone
- (804) 379-7855
- Fax
- (804) 379-2159
- NPI assigned
- Apr 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Patrick McQuade, D.D.S.
- Title
- Owner
- Phone
- (804) 379-7855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1140507 | VA | Primary |
Addresses
Primary practice location
30 Courthouse Rd
Richmond, VA 23236-3124
Mailing address
30 Courthouse Rd
Richmond, VA 23236-3124
Phone (804) 379-7855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9181303 | Medicaid | VA | |
| 0007105 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Chesterfield Dental Center PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Richmond, VA
- NPI 1841542255
Locations
30 Courthouse Rd
North Chesterfield, VA 23236
Phone (804) 379-7855
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- General Practice Dentistry
- Richmond, VA
- NPI 1841542255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1073786299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 COURTHOUSE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232363124",
"telephone_number": "804-379-7855",
"fax_number": "804-379-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 COURTHOUSE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232363124",
"telephone_number": "804-379-7855",
"fax_number": "804-379-2159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTERFIELD DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-09",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "MCQUADE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-379-7855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "VA",
"license": "1140507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9181303",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007105",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- Cheryl M Belle MD P C
- Cheryl Outen PHD LPC LLC
- Taylor Cheski
- Alden E Chesney, MD
- Chesterfield Community Services Board-Infant Program
- Chesterfield Dental Center PLLC
- Chesterfield Family Guidance Center
- Chesterfield Family Practice Center, PC
- Chesterfield Mental Health Associates
- Shavonte Danielle Chestnut, L.P.N
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.