NPIMap

Organization Active NPI

Dentistry by Design Colonial Heights PLLC

  • Public Health Dentistry
  • Colonial Heights, VA
National Provider Identifier
1134738354
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
DENTISTRY BY DESIGN COLONIAL HEIGHTS PLLC
Practice address
241 Charles H Dimmock Pkwy Ste 2
Colonial Heights, VA 23834-2915
Phone
(804) 520-0699
NPI assigned
Jul 23, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Ms. Krystal D Flowers
Title
Finance Coordinator
Phone
(703) 304-1276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X NU Primary

Addresses

Primary practice location

241 Charles H Dimmock Pkwy Ste 2
Colonial Heights, VA 23834-2915

Mailing address

13580 Groupe Dr Ste 305
Woodbridge, VA 22192-4165
Phone (703) 304-1276

Other names 1

  • Dentistry By Design Other name

National Provider Directory

National Provider Directory

Locations

241 Charles H Dimmock Pkwy
Ste 2
Colonial Heights, VA 23834
Phone (804) 520-0699

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1134738354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13580 GROUPE DR STE 305",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924165",
            "telephone_number": "703-304-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CHARLES H DIMMOCK PKWY STE 2",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342915",
            "telephone_number": "804-520-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY BY DESIGN COLONIAL HEIGHTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FINANCE COORDINATOR",
        "authorized_official_telephone_number": "703-304-1276",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry By Design",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.