NPIMap

Organization Active NPI

Short Pumps Dental

  • General Practice Dentistry
  • Henrico, VA
National Provider Identifier
1114079480
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007159 Issued in VA
Legal business name
SHORT PUMPS DENTAL
Practice address
3811 Westerre Pkwy
Suite C
Henrico, VA 23233-1329
Phone
(804) 747-0116
Fax
(804) 747-6881
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Dr. Roman T Haueis, DMDNPI 1063676450
Title
Dentist / Owner
Phone
(804) 747-0116

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401007159 VA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401008563 VA

Addresses

Primary practice location

3811 Westerre Pkwy
Suite C
Henrico, VA 23233-1329

Mailing address

3811 Westerre Pkwy
Suite C
Henrico, VA 23233-1329
Phone (804) 747-0116

National Provider Directory

National Provider Directory

Locations

3811 Westerre Pkwy
Ste C
Henrico, VA 23233
Phone (804) 747-0116

Practitioners & affiliated clinicians

Practitioners 2

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1114079480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 WESTERRE PKWY",
            "address_2": "SUITE C",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331329",
            "telephone_number": "804-747-0116",
            "fax_number": "804-747-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 WESTERRE PKWY",
            "address_2": "SUITE C",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331329",
            "telephone_number": "804-747-0116",
            "fax_number": "804-747-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT PUMPS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "HAUEIS",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "804-747-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007159",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.