NPIMap

Organization Active NPI

Massanutten Dental Team and Oral Surgery

  • General Practice Dentistry
  • Rockingham, VA
National Provider Identifier
1295202844
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MASSANUTTEN DENTAL TEAM AND ORAL SURGERY
Practice address
4100 Quarles CT
Rockingham, VA 22801-8797
Phone
(540) 432-0609
Fax
(540) 432-9097
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Jackie Golladay
Title
Insurance Coordinator
Phone
(540) 432-0609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

4100 Quarles CT
Rockingham, VA 22801-8797

Mailing address

4100 Quarles CT
Rockingham, VA 22801-8797
Phone (540) 432-0609

National Provider Directory

National Provider Directory

Locations

4100 Quarles Ct
Rockingham, VA 22801
Phone (540) 432-0609

Practitioners & affiliated clinicians

Practitioners 11

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": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1295202844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 QUARLES CT",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018797",
            "telephone_number": "540-432-0609",
            "fax_number": "540-432-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 QUARLES CT",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018797",
            "telephone_number": "540-432-0609",
            "fax_number": "540-432-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSANUTTEN DENTAL TEAM AND ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "GOLLADAY",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "540-432-0609"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.