Active NPI
Fnu Shilpa Vijaya
- Dentist
- Richmond, VA
National Provider Identifier
1104586551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401417952
- Practice address
- 3904 Hull Street Rd Ste a
Richmond, VA 23224-1714 - Phone
- (804) 233-0007
- NPI assigned
- Dec 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401417952 | VA | Primary |
Addresses
Primary practice location
3904 Hull Street Rd Ste a
Richmond, VA 23224-1714
Mailing address
6032 Collinstone Dr
Glen Allen, VA 23059-7104
Phone (512) 947-4210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401417952 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental of Virginia, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Richmond, VA
- NPI 1124392451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1104586551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6032 COLLINSTONE DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230597104",
"telephone_number": "512-947-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3904 HULL STREET RD STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232241714",
"telephone_number": "804-233-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIJAYA",
"first_name": "FNU SHILPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2023-04-04",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417952",
"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 Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.