Richard Allen Macilwaine, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006312 Issued in VA

Practice address

11549 Nuckols Rd Ste a
Glen Allen, VA 23059-5664

Phone

(804) 527-2982

Fax

(804) 527-2987

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Dental Professionals of Virginia, P.C.

  dba Family Dentistry of Short Pump

  • General Practice Dentistry
  • Glen Allen, VA
  • NPI 1962813402
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255455051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11549 NUCKOLS RD STE A",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595664",
            "telephone_number": "804-527-2982",
            "fax_number": "804-527-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11549 NUCKOLS RD STE A",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595664",
            "telephone_number": "804-527-2982",
            "fax_number": "804-527-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACILWAINE",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Lynch, LCSW
• M H Ahmed DMD LLC
• Maa Durga Homecare LLC
• Arja A Maberry, MD PHD
• Francisco F Macasaet, MD
• Samantha Maciolek
• Stacia Macklin
• David Wishart Macmillan, M.D.
• Parthasarathy Madurantakam, DDS
• Mahendra D.Shah,M.D.& Associates,P.C.

• General Practice Dentistry in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.