NPIMap

Organization Active NPI

Danville Dental Associates, PC

  • General Practice Dentistry
  • Danville, VA
National Provider Identifier
1295814770
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANVILLE DENTAL ASSOCIATES, PC
Practice address
770 Piney Forest Rd
Suite a
Danville, VA 24540-2875
Phone
(434) 799-8825
Fax
(434) 799-9458
NPI assigned
Nov 3, 2006
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Mrs. Sandra Dillon Payne
Title
Corporate Officer
Phone
(434) 799-8825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

770 Piney Forest Rd
Suite a
Danville, VA 24540-2875

Mailing address

770 Piney Forest Rd
Suite a
Danville, VA 24540-2875
Phone (434) 799-8825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150720001114 VA Part B Supplier - Clinic/Group Practice 4789997826 Receives reassigned benefits from 4 practitioners
Practice locations: Chatham, VA; Danville, VA
O20251016000318 VA DME Supplier - Oral Surgery - Dentist 4789997826 Practice locations: Chatham, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Danville Dental Assoc PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 Piney Forest Rd
Danville, VA 24540
Phone (434) 793-1400

1429 S Boston Rd
Danville, VA 24540
Phone (434) 799-5097

5011 Riverside Dr
Ste A
Danville, VA 24541
Phone (434) 822-1332

770 Piney Forest Rd
Danville, VA 24540
Phone (434) 799-8825

770 Piney Forest Rd
Ste A
Danville, VA 24540
Phone (434) 799-8825

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1295814770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PINEY FOREST RD",
            "address_2": "SUITE A",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402875",
            "telephone_number": "434-799-8825",
            "fax_number": "434-799-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINEY FOREST RD",
            "address_2": "SUITE A",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402875",
            "telephone_number": "434-799-8825",
            "fax_number": "434-799-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "434-799-8825",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.