Organization Active NPI

Culpeper Kids Dentistry, PLLC

Doing business as Culpeper Kids Dentistry

  • Dental Clinic/Center
  • Culpeper, VA
National Provider Identifier
1225490246
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401413425 Issued in VA
Legal business name
CULPEPER KIDS DENTISTRY, PLLC
Doing business as
Culpeper Kids Dentistry
Practice address
18474 Crossroad Pkwy
Culpeper, VA 22701-4112
Phone
(540) 445-0271
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Alvin Castasus Amante, DMD
Title
Managing Member
Phone
(206) 427-2977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401413425 VA Primary

Addresses

Primary practice location

18474 Crossroad Pkwy
Culpeper, VA 22701-4112

Mailing address

18474 Crossroad Pkwy
Culpeper, VA 22701-4112
Phone (540) 445-0271

Other names 1

  • Culpeper Kids Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

18474 Crossroad Pkwy
Culpeper, VA 22701
Phone (540) 445-0271

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1225490246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18474 CROSSROAD PKWY",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014112",
            "telephone_number": "540-445-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18474 CROSSROAD PKWY",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014112",
            "telephone_number": "540-445-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULPEPER KIDS DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "AMANTE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "CASTASUS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "206-427-2977",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401413425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Culpeper Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.