Organization Active NPI

E. Ross Testerman,Jr.,D.D.S.,P.C.

  • Exclusive Provider Organization
  • Staunton, VA
National Provider Identifier
1083802607
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
0401005809 Issued in VA
Legal business name
E. ROSS TESTERMAN,JR.,D.D.S.,P.C.
Practice address
504 N Coalter St
Staunton, VA 24401-3401
Phone
(540) 885-1631
Fax
(540) 885-7015
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Edward Ross Testerman Jr., DDSNPI 1760596704
Title
Dentist
Phone
(540) 885-1631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 0401005809 VA Primary

Addresses

Primary practice location

504 N Coalter St
Staunton, VA 24401-3401

Mailing address

504 N Coalter St
Staunton, VA 24401-3401
Phone (540) 885-1631

National Provider Directory

National Provider Directory

Locations

504 N Coalter St
Staunton, VA 24401
Phone (540) 885-1631

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1083802607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N COALTER ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013401",
            "telephone_number": "540-885-1631",
            "fax_number": "540-885-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N COALTER ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013401",
            "telephone_number": "540-885-1631",
            "fax_number": "540-885-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. ROSS TESTERMAN,JR.,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "TESTERMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "540-885-1631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0401005809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.