Individual provider Active NPI

Nathaniel Lemaster Armistead IV, DDS

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1245724285
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416063 Issued in VA
Practice address
3603 Grove Ave
Richmond, VA 23221
Phone
(804) 912-1812
NPI assigned
Jun 21, 2018
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416063 VA Primary

Addresses

Primary practice location

3603 Grove Ave
Richmond, VA 23221

Mailing address

607 Arlie St
Richmond, VA 23226-2623
Phone (804) 467-9657

Other practice location 1

10047 Midlothian Tpke Ste 100
North Chesterfield, VA 23235-4858
Phone (804) 510-0433

Other practice location 2

7410 Hull Street Rd Ste 101
North Chesterfield, VA 23235-5834
Phone (804) 477-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401416063VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Total Smiles Dentistry PC General Practice PastSince Feb 8, 2023 Accepting new patients
Modern Dentistry General Practice PastSince Feb 8, 2023 Accepting new patients
Dentists on Grove Avenue PC General Practice PastSince Feb 8, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1245724285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 ARLIE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262623",
            "telephone_number": "804-467-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23221",
            "telephone_number": "804-912-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10047 Midlothian Tpke Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354858",
            "country_code": "US",
            "telephone_number": "804-510-0433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7410 Hull Street Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232355834",
            "country_code": "US",
            "telephone_number": "804-477-8687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMISTEAD",
        "first_name": "NATHANIEL",
        "middle_name": "LEMASTER",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 2, 2018; 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.