NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

Doing business as Chesterfield County Health Department Dental Clinic

  • Public Health or Welfare Agency
  • Chesterfield, VA
National Provider Identifier
1215031497
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Doing business as
Chesterfield County Health Department Dental Clinic
Practice address
9501 Lucy Corr Cir
Suite 404
Chesterfield, VA 23832-6697
Phone
(804) 748-1752
Fax
(804) 751-4497
NPI assigned
Sep 11, 2006
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. William R Nelson, M.D.,MPHNPI 1780748616
Title
District Health Director
Phone
(804) 751-4385

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
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

9501 Lucy Corr Cir
Suite 404
Chesterfield, VA 23832-6697

Mailing address

PO Box 100
Chesterfield, VA 23832-0002
Phone (804) 751-1743

Other identifiers 3

IdentifierTypeStateIssuer
107016OtherVAANTHEM BC BS OF VA
0007461OtherDORAL DENTAL USA
008450161MedicaidVA

Other names 1

  • Chesterfield County Health Department Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cville Albemarle Health163 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

9501 Lucy Corr Cir
Ste 404
Chesterfield, VA 23832
Phone (804) 748-1752

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1215031497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238320002",
            "telephone_number": "804-751-1743",
            "fax_number": "804-751-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 LUCY CORR CIR",
            "address_2": "SUITE 404",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326697",
            "telephone_number": "804-748-1752",
            "fax_number": "804-751-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DISTRICT HEALTH DIRECTOR",
        "authorized_official_telephone_number": "804-751-4385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS OF VA",
            "identifier": "107016",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL USA",
            "identifier": "0007461",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008450161",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesterfield County Health Department Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.