NPIMap

Organization Active NPI

GD VA BRSL, PLLC

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1194409201
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GD VA BRSL, PLLC
Practice address
6901 Patterson Ave
Richmond, VA 23226-3627
Phone
(804) 288-5324
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Chad Hendricks
Title
Credentialing
Phone
(612) 859-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6901 Patterson Ave
Richmond, VA 23226-3627

Mailing address

6901 Patterson Ave
Richmond, VA 23226-3627
Phone (804) 288-5324

Other practice location 1

10410 Ridgefield Pkwy
Richmond, VA 23233-3500
Phone (804) 754-4161

Other names 1

  • Brown Reynolds Snow Lenoir Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6901 Patterson Ave
Richmond, VA 23226
Phone (804) 288-5324

Practitioners & affiliated clinicians

Practitioners 6

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": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1194409201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263627",
            "telephone_number": "804-288-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263627",
            "telephone_number": "804-288-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10410 Ridgefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232333500",
            "country_code": "US",
            "telephone_number": "804-754-4161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GD VA BRSL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown Reynolds Snow Lenoir Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.