Organization Active NPI

Midlothian Children's Dentistry

  • Dental Clinic/Center
  • Midlothian, VA
National Provider Identifier
1174981856
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401413587 Issued in VA
Legal business name
MIDLOTHIAN CHILDREN'S DENTISTRY
Practice address
305 Schofield Dr
Midlothian, VA 23113-7331
Phone
(804) 517-0117
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Dr. Shital N Patel, DDSNPI 1972734705
Title
Pediatric Dentist
Phone
(804) 517-0117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401413587 VA Primary

Addresses

Primary practice location

305 Schofield Dr
Midlothian, VA 23113-7331

Mailing address

4717 Brydes LN
Glen Allen, VA 23059-5827
Phone (804) 517-0117

National Provider Directory

National Provider Directory

Locations

305 Schofield Dr
Midlothian, VA 23113
Phone (804) 517-0117

Practitioners & affiliated clinicians

Practitioners 1

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": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1174981856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 BRYDES LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595827",
            "telephone_number": "804-517-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SCHOFIELD DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137331",
            "telephone_number": "804-517-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLOTHIAN CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHITAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "804-517-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401413587",
            "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 Feb 9, 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.