Adam Plaster, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410196 Issued in VA

Practice address

423 E Main St
Suite 2
Bedford, VA 24523-2016

Phone

(540) 586-3215

Fax

(540) 586-3273

NPI assigned

Jul 6, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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)

Enrolled

Interoperability endpoints

• Direct secure messaging: adam.plaster@sdhs.directbygreenway.com

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1275845323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232016",
            "telephone_number": "540-586-3215",
            "fax_number": "540-586-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232016",
            "telephone_number": "540-586-3215",
            "fax_number": "540-586-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASTER",
        "first_name": "ADAM",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAQUEST",
            "identifier": "9178673",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010119529",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clay E Peters II, ED.D., L.P.C., N.C.C
• Levi Peters, PT,DPT
• Bert M Peterson Jr., O.D.
• Wesley Fletcher Phillips III, LPC
• Pinnacle Therapies PLLC
• Laura Pfaff Podyma, LPTA
• Poindexters Res Child Care Facility
• David Lawrence Polk, D.D.S
• Theresa Anne Pollard, PHARM D
• Anthony Eugene Powell, L.P.C.

• General Practice Dentistry in Bedford, VA
• Providers in Bedford, 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 Feb 3, 2016; 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.