NPIMap

Organization Active NPI

Benjamin L. Tolley, D.D.S., P.C.

  • Dentist
  • Winchester, VA
National Provider Identifier
1164629929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411543 Issued in VA
Legal business name
BENJAMIN L. TOLLEY, D.D.S., P.C.
Practice address
36 W Whitlock Ave
Winchester, VA 22601-4432
Phone
(540) 662-6466
Fax
(540) 662-6695
NPI assigned
Jun 27, 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. Benjamin Lee Tolley, D.D.S.NPI 1649395468
Title
Dentist
Phone
(540) 662-6466

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401411543 VA Primary

Addresses

Primary practice location

36 W Whitlock Ave
Winchester, VA 22601-4432

Mailing address

36 W Whitlock Ave
Winchester, VA 22601-4432
Phone (540) 662-6466

National Provider Directory

National Provider Directory

Locations

36 W Whitlock Ave
Winchester, VA 22601
Phone (540) 662-6466

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164629929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W WHITLOCK AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014432",
            "telephone_number": "540-662-6466",
            "fax_number": "540-662-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W WHITLOCK AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014432",
            "telephone_number": "540-662-6466",
            "fax_number": "540-662-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN L. TOLLEY, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLLEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "540-662-6466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, 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.