NPIMap

Organization Active NPI

Central Virginia Family Dentistry

  • Dentist
  • Lynchburg, VA
National Provider Identifier
1104831635
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401005086 Issued in VA
Legal business name
CENTRAL VIRGINIA FAMILY DENTISTRY
Practice address
20936 Timberlake Rd
Suite a
Lynchburg, VA 24502
Phone
(434) 237-0004
Fax
(434) 237-6597
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Shane R Clairborne, DDS
Title
Doctor
Phone
(434) 237-0004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401005086 VA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401410751 VA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401410958 VA

Addresses

Primary practice location

20936 Timberlake Rd
Suite a
Lynchburg, VA 24502

Mailing address

20936 Timberlake Rd
Suite a
Lynchburg, VA 24502
Phone (434) 237-0004

Other names 1

  • Davis and Howard LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

20936 Timberlake Rd
Uppr A
Lynchburg, VA 24502
Phone (434) 237-0004

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1104831635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20936 TIMBERLAKE RD",
            "address_2": "SUITE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-237-0004",
            "fax_number": "434-237-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20936 TIMBERLAKE RD",
            "address_2": "SUITE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-237-0004",
            "fax_number": "434-237-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "CLAIRBORNE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "434-237-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005086",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410751",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis and Howard LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.