Maynard-Richardson-Overstreet, LTD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

MAYNARD-RICHARDSON-OVERSTREET, LTD

Practice address

4909 Grove Ave
Richmond, VA 23226-1649

Phone

(804) 355-6593

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Betsy A Hawkins

Title

Office Manager

Phone

(804) 355-6593

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1306973631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261649",
            "telephone_number": "804-355-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYNARD-RICHARDSON-OVERSTREET, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-355-6593"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Fara Mayer, L.C.S.W.
• Sallie Davis Mayer, PHARM,D.
• Stephanie Brigitte Mayer, M.D.
• Julia Burton Mayhew, FNP-BC
• Maylight Health & Wellness, PLLC
• Jay A. Maynard, L.P.C.
• Lavern D Mayo-Jones, LPC
• Catherine Barila Mayo, NP
• Ellen Nicole-Boone Mayo, BCABA, LABA
• Haripreet Mayo

• Periodontics in Richmond, VA
• Providers in Richmond, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.