Organization Active NPI

Chesterfield Dental Center

  • Dental Clinic/Center
  • Richmond, VA
National Provider Identifier
1073786299
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1140507 Issued in VA
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

Updated by the provider on Jun 19, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9181303MedicaidVA
0007105MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Chesterfield Dental Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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

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.

Verify at the official NPI Registry.