Organization Active NPI

Ronald W Householder DDS PLLC

  • Dental Clinic/Center
  • Tazewell, VA
National Provider Identifier
1255834610
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401005792 Issued in VA
Legal business name
RONALD W HOUSEHOLDER DDS PLLC
Practice address
316 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone
(276) 988-7522
Fax
(276) 988-5866
NPI assigned
Mar 13, 2018
Last updated
Mar 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Dr. Ronald Wayne Householder, DDSNPI 1871609792
Title
Owner/Dentist
Phone
(276) 988-7522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401005792 VA Primary

Addresses

Primary practice location

316 Ben Bolt Ave
Tazewell, VA 24651-5386

Mailing address

PO Box 542
North Tazewell, VA 24630-0542
Phone (276) 988-7522

National Provider Directory

National Provider Directory

Locations

316 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 979-5796

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1255834610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "NORTH TAZEWELL",
            "state": "VA",
            "postal_code": "246300542",
            "telephone_number": "276-988-7522",
            "fax_number": "276-988-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515386",
            "telephone_number": "276-988-7522",
            "fax_number": "276-988-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD W HOUSEHOLDER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "HOUSEHOLDER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "276-988-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401005792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.