NPIMap

Organization Active NPI

Hsa Dental

  • Dental Clinic/Center
  • Ashland, VA
National Provider Identifier
1104696509
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HSA DENTAL
Practice address
11601 Lakeridge Pkwy Ste 300
Ashland, VA 23005-8234
Phone
(804) 424-0114
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Dr. Munira Jiwani, DDSNPI 1508008640
Title
Owner
Phone
(903) 283-1996

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11601 Lakeridge Pkwy Ste 300
Ashland, VA 23005-8234

Mailing address

11601 Lakeridge Pkwy Ste 300
Ashland, VA 23005-8234
Phone (804) 424-0114

National Provider Directory

National Provider Directory

Locations

11601 Lakeridge Pkwy
Ste 300
Ashland, VA 23005
Phone (804) 266-2400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1104696509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 LAKERIDGE PKWY STE 300",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058234",
            "telephone_number": "804-424-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 LAKERIDGE PKWY STE 300",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058234",
            "telephone_number": "804-424-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "JIWANI",
        "authorized_official_first_name": "MUNIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-283-1996",
        "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": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.