Northside Dental Company, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTHSIDE DENTAL COMPANY, PLLC

Doing business as

Northside Dental Co.

Practice address

3404 Hermitage Rd
Richmond, VA 23227-4307

Phone

(804) 477-4210

NPI assigned

Jan 22, 2020

Last updated

Jul 21, 2020By 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

Mrs. Katelin Heim

Title

Office Manager

Phone

(804) 767-3410

Specialties & licenses 1

Addresses

Other names 1

• Northside Dental Co. Doing business as

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.

• Sheldon Anthony Bates, D.M.D., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Henrico, VA
  • NPI 1740536663
  NPD (past)

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1285264887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 HERMITAGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274307",
            "telephone_number": "804-767-3410",
            "fax_number": "804-934-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 HERMITAGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274307",
            "telephone_number": "804-477-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE DENTAL COMPANY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "KATELIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-767-3410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Dental Co.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northside Dental Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Emily North, LCSW
• Jena Gross Northen, MS, OTR/L, BCN, SIPT
• Northern Virginia Behavioral Therapeutic Consultation
• Northland Hearing Centers, Inc (The Hearing Aid Store)
• Michelle Joyce Northrop, LCSW
• Northside Pediatrics PC
• Northside Wellness Solutions, LLC
• Kristen Eleanor Norton, LCSW
• Lucy Norton
• Marie P Norton

• Dental Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.