Organization Active NPI

Peakview Dental

  • Dentist
  • Bedford, VA
National Provider Identifier
1205258969
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
401005448 Issued in VA
Legal business name
PEAKVIEW DENTAL
Practice address
167 W Main St
Bedford, VA 24523-1950
Phone
(540) 586-8106
Fax
(540) 586-5054
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Anthony D Bailey
Title
Co-Owner
Phone
(540) 586-8106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 401005448 VA Primary

Addresses

Primary practice location

167 W Main St
Bedford, VA 24523-1950

Mailing address

167 W Main St
Bedford, VA 24523-1950
Phone (540) 586-8106

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1205258969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W MAIN ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231950",
            "telephone_number": "540-586-8106",
            "fax_number": "540-586-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W MAIN ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231950",
            "telephone_number": "540-586-8106",
            "fax_number": "540-586-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKVIEW DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "540-586-8106"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "401005448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.