Joseph Justin Booth, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418925 Issued in VA

Practice address

11846 Perdue Springs CT
Chester, VA 23831-2164

Phone

(804) 906-7555

NPI assigned

Aug 15, 2007

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1184816936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11846 PERDUE SPRINGS CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312164",
            "telephone_number": "512-784-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11846 PERDUE SPRINGS CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312164",
            "telephone_number": "804-906-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "JOSEPH",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195043810",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bon Secours-Richmond Community Hospital LLC (Bon Secours Neurology at Ironbridge)
• Bon Secours-Virginia Healthsource (Ironbridge Family Practice)
• Bon Secours-Virginia Healthsource (Richmond Radiation Oncology Center)
• Bon Secours-Virginia Healthsource (John H. York, D.O.)
• Corliss Voncille Booker, RN
• Derrrick Botkins
• Laina Jo Bourassa, M.D.
• Melody E Boxley, FNP
• Elizabeth Bradshaw, LCSW
• Latoya Yvette Bragg, APRN, PMHNP-BC

• General Practice Dentistry in Chester, VA
• Providers in Chester, 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 Sep 29, 2025; 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.