Kim T Van

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416121 Issued in VA

Practice address

1907 Huguenot Rd
North Chesterfield, VA 23235

Phone

(804) 379-6806

NPI assigned

Jul 13, 2018

Last updated

Jul 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• George a Oley III DDS PLC

  dba Dr. George A Oley III, Paul J. Shaia & Associates

  • Dentist
  • Richmond, VA
  • NPI 1841351871
  NPD (past)
• George a Oley III PLC

  • Dentist
  • Mechanicsville, VA
  • NPI 1568840262
  NPD (past)

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1174009070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 HUGUENOT RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354325",
            "telephone_number": "804-379-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 HUGUENOT RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-379-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9030 Three Chopt Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232294641",
            "country_code": "US",
            "telephone_number": "804-282-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN",
        "first_name": "KIM",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Behavioral Health
• Ashley Brooke Van Lith, MSN, APRN, AGACNP-BC
• Thomas Thong Van Nguyen, M.D.
• Kelsey Van Sickler, FNP
• Ashley Elizabeth Van Valkenburgh, LMT
• Andrea Lynn Vanscoik, RD, CDCES
• Mary Tabitha Varney, LPC
• Hanna A Varno, DDS
• Citlali E Vasquez, BSN, RN
• Crystal M Peebles Vaughan

• General Practice Dentistry in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.