NPIMap

Organization Active NPI

Louisa Comprehensive Dental

  • General Practice Dentistry
  • Louisa, VA
National Provider Identifier
1124148531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411467 Issued in VA
Legal business name
LOUISA COMPREHENSIVE DENTAL
Practice address
411 E Main St
Louisa, VA 23093-6518
Phone
(540) 967-5800
Fax
(540) 967-5858
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Kurt Williams, DDSNPI 1114077591
Title
Member
Phone
(540) 967-5800

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401411467 VA Primary

Addresses

Primary practice location

411 E Main St
Louisa, VA 23093-6518

Mailing address

411 E Main St
Louisa, VA 23093-6518
Phone (540) 967-5800

National Provider Directory

National Provider Directory

Locations

411 East Main St
Louisa, VA 23093
Phone (540) 967-5800

Practitioners & affiliated clinicians

Practitioners 3

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124148531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E MAIN ST",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230936518",
            "telephone_number": "540-967-5800",
            "fax_number": "540-967-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E MAIN ST",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230936518",
            "telephone_number": "540-967-5800",
            "fax_number": "540-967-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA COMPREHENSIVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "540-967-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.