Bsaa PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BSAA PLLC

Doing business as

Progressive Dental of Fredericksburg

Practice address

1239 Central Park Blvd
Fredericksburg, VA 22401-4912

Phone

(540) 785-3733

Fax

(540) 785-0939

NPI assigned

Oct 8, 2024

Last updated

Oct 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Winfield Scott Shirk, DDSNPI 1629415021

Title

Owner

Phone

(540) 785-3733

Specialties & licenses 1

Addresses

Other names 1

• Progressive Dental of Fredericksburg Doing business as

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.

• Winfield Scott Shirk, DDS

  • Dentist
  • King George, VA
  • NPI 1629415021
  NPD Authorized official

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1083433890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 CENTRAL PARK BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014912",
            "telephone_number": "540-785-3733",
            "fax_number": "540-785-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 CENTRAL PARK BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014912",
            "telephone_number": "540-785-3733",
            "fax_number": "540-785-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSAA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "SHIRK",
        "authorized_official_first_name": "WINFIELD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-785-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Dental of Fredericksburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce a. Craig, PC
• Bruce Craig, LPC
• Vienna Brummond, OTR/L
• Donna Ann Bryant, MS, CCC-SLP
• Maya Bryer, PA-C
• Karen E Buchholz, DPT
• Elizabeth Buchmeier, M.A. CCC-SLP
• Buckhorn Lane Counseling, PLLC
• Bradd Andrew Buckingham, MACMH
• Nina Buckley-Ess, AU.D.

• Dental Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.