Organization Active NPI

River Run Dental of Edinburgh PLLC

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1225995053
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIVER RUN DENTAL OF EDINBURGH PLLC
Doing business as
River Run Dental
Practice address
825 Battlefield Blvd S
Chesapeake, VA 23322-6607
Phone
(757) 231-5291
NPI assigned
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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

Authorized official

Name
Kim Davis
Title
RCM Director
Phone
(703) 568-5773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

825 Battlefield Blvd S
Chesapeake, VA 23322-6607

Mailing address

PO Box 604476
Charlotte, NC 28260-4476
Phone (757) 482-2876

Other practice location 1

1933 Edwin Dr Ste 202
Chesapeake, VA 23322-6531
Phone (757) 482-2876

Other names 2

  • River Run Dental Doing business as
  • Center for Restorative, Cosmetic & Implant Dentistry PC Other name

National Provider Directory

National Provider Directory

Locations

825 Battlefield Blvd S
Chesapeake, VA 23322
Phone (757) 231-5291

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787443200000",
    "number": "1225995053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604476",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604476",
            "telephone_number": "757-482-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BATTLEFIELD BLVD S",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226607",
            "telephone_number": "757-231-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1933 Edwin Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233226531",
            "country_code": "US",
            "telephone_number": "757-482-2876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER RUN DENTAL OF EDINBURGH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "703-568-5773"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Run Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Restorative, Cosmetic & Implant Dentistry PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; 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.