Active NPI
Nathaniel Lemaster Armistead IV, DDS
- General Practice Dentistry
- Richmond, VA
National Provider Identifier
1245724285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401416063
- Practice address
- 3603 Grove Ave
Richmond, VA 23221 - Phone
- (804) 912-1812
- NPI assigned
- Jun 21, 2018
- Last updated
- Jul 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416063 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Smiles Dentistry PC | General Practice | Past | Accepting new patients |
| Modern Dentistry | General Practice | Past | Accepting new patients |
| Dentists on Grove Avenue PC | General Practice | Past | 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.
-
- General Practice Dentistry
- Richmond, VA
- NPI 1962108142
-
- General Practice Dentistry
- North Chesterfield, VA
- NPI 1538865712
-
- General Practice Dentistry
- North Chesterfield, VA
- NPI 1376249581
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.