Shenandoah Valley Implant Institute of Winchester

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

SHENANDOAH VALLEY IMPLANT INSTITUTE OF WINCHESTER

Practice address

1705 Amherst St Ste 202
Winchester, VA 22601-3346

Phone

(540) 662-6400

Fax

(540) 662-8681

NPI assigned

Mar 10, 2021

Last updated

Mar 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff L Dickson, DMDNPI 1326285883

Title

Owner

Phone

(540) 662-6400

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Jeff Dickson

  • Periodontics
  • Lexington, KY
  • NPI 1326285883
  NPD (past) Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1255916433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 AMHERST ST STE 202",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013346",
            "telephone_number": "540-662-6400",
            "fax_number": "540-662-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 AMHERST ST STE 202",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013346",
            "telephone_number": "540-662-6400",
            "fax_number": "540-662-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH VALLEY IMPLANT INSTITUTE OF WINCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-662-6400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svii1705@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "1705 Amherst St Ste 202",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shenandoah University (Shenandoah Sports Medicine)
• Shenandoah Valley Community Residences, Inc.
• Shenandoah Valley Family Practicellc
• Shenandoah Valley Family Practicellc
• Shenandoah Valley Implant Institute
• Shenandoah Valley Medical System, Inc. (Winchester Family Health Center)
• Shenandoah Valley Medical System, Inc. (Shenandoah Pharmacy-Winchester)
• Shenandoah Valley Orthodontic Specialists, PC
• Shenandoah Valley Pathology Laboratories Inc
• Colleen Shendow

• Periodontics in Winchester, VA
• Providers in Winchester, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.