Organization Active NPI

Richmond Pediatric Dentistry and Orthodontics

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1083188908
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHMOND PEDIATRIC DENTISTRY AND ORTHODONTICS
Practice address
8503 Patterson Ave Ste G
Richmond, VA 23229-6442
Phone
(804) 740-7281
Fax
(804) 750-1209
NPI assigned
Jan 14, 2019
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Elizabeth Parks
Title
Financial Coordinator
Phone
(804) 740-1297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8503 Patterson Ave Ste G
Richmond, VA 23229-6442

Mailing address

8503 Patterson Ave Ste G
Richmond, VA 23229-6442
Phone (804) 740-7281

National Provider Directory

National Provider Directory
Tax ID family
Russell Mosher DDS PC6 organizations share this tax ID, including this one
Part of
Russell Mosher DDS PC

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1083188908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 PATTERSON AVE STE G",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296442",
            "telephone_number": "804-740-7281",
            "fax_number": "804-750-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 PATTERSON AVE STE G",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296442",
            "telephone_number": "804-740-7281",
            "fax_number": "804-750-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "804-740-1297"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 14, 2019; 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.