NPIMap

Organization Active NPI

Richard S Vacca DDS LTD

  • General Practice Dentistry
  • Midlothian, VA
National Provider Identifier
1174074256
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
401007459 Issued in VA
Legal business name
RICHARD S VACCA DDS LTD
Practice address
5921 Harbour LN
Suite 400
Midlothian, VA 23112-2158
Phone
(804) 739-9191
Fax
(804) 739-7764
NPI assigned
Oct 24, 2016
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Dr. Richard Steven Vacca, DDSNPI 1083835367
Title
Dentist/Owner
Phone
(804) 739-9191

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 401007459 VA Primary

Addresses

Primary practice location

5921 Harbour LN
Suite 400
Midlothian, VA 23112-2158

Mailing address

5921 Harbour LN
Suite 400
Midlothian, VA 23112-2158
Phone (804) 739-9191

National Provider Directory

National Provider Directory
Tax ID family
Dr Richard Vacca DDS2 organizations share this tax ID, including this one
Part of
Russell Mosher DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5921 Harbour Ln
Ste 400
Midlothian, VA 23112
Phone (804) 739-9191

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": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1174074256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 HARBOUR LN",
            "address_2": "SUITE 400",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122158",
            "telephone_number": "804-739-9191",
            "fax_number": "804-739-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 HARBOUR LN",
            "address_2": "SUITE 400",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122158",
            "telephone_number": "804-739-9191",
            "fax_number": "804-739-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S VACCA DDS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "VACCA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-739-9191",
        "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": "401007459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.