Individual provider Active NPI

Frank Anderson Wade III, D.D.S.

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1275658049
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401005975 Issued in VA
Practice address
204 N Hamilton St
Suite 1
Richmond, VA 23221-2662
Phone
(804) 358-8204
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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 0401005975 VA Primary

Addresses

Primary practice location

204 N Hamilton St
Suite 1
Richmond, VA 23221-2662

Mailing address

204 N Hamilton St
Suite 1
Richmond, VA 23221-2662
Phone (804) 358-8204

Other names 1

  • Dr. F. Anderson Wade Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160502001814 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204135916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1275658049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N HAMILTON ST",
            "address_2": "SUITE 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212662",
            "telephone_number": "804-358-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N HAMILTON ST",
            "address_2": "SUITE 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212662",
            "telephone_number": "804-358-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "FRANK",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "F.",
            "last_name": "WADE",
            "middle_name": "ANDERSON",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.