Lynchburg Periodontics PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

LYNCHBURG PERIODONTICS PLLC

Doing business as

Periodontal Health Associates PC

Practice address

525 Leesville Rd
Lynchburg, VA 24502-2328

Phone

(434) 455-2444

Fax

(434) 237-2050

NPI assigned

Dec 4, 2024

Last updated

Dec 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Christopher Anderson, DDSNPI 1942349329

Title

President

Phone

(434) 455-2444

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Periodontal Health Associates PC Doing business as

Locations

Practitioners 3

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.

• Ryan Christopher Anderson, DDS

  • Periodontics
  • Lynchburg, VA
  • NPI 1942349329
  NPD Authorized official
• Yailin Diaz Pichardo, DMD, MS

  • Periodontics
  • Lynchburg, VA
  • NPI 1912578626
  NPD
• Sherman O Smock, D.D.S.

  • Periodontics
  • Lynchburg, VA
  • NPI 1972550119
  NPD (past)

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1164238259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LEESVILLE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022328",
            "telephone_number": "434-455-2444",
            "fax_number": "434-237-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LEESVILLE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022328",
            "telephone_number": "434-455-2444",
            "fax_number": "434-237-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCHBURG PERIODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-455-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERIODONTIST",
            "identifier": "1912578626",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERIODONTIST",
            "identifier": "1942349329",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontal Health Associates PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynchburg Healthcare, LLC (The Carrington)
• Lynchburg Healthcare, LLC (The Carrington)
• Lynchburg Hematology Oncology Clinic Inc.
• Lynchburg Internal Medicine Inc
• Lynchburg Nephrology Physicians PLLC (Lynchburg Nephrology Physicians)
• Lynchburg Pulmonary Associates, Inc.
• Lynchburg Rheumatology Clinic
• Lynchburg Services of Health, LLC
• Lynchburg Speech Therapy, Inc.
• Lynchburg Surgical Associates, Inc.

• Periodontics in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.