NPIMap

Organization Active NPI

Shenandoah Valley Implant Institute

  • Periodontics
  • Winchester, VA
National Provider Identifier
1316060072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0401006612 Issued in VA
Legal business name
SHENANDOAH VALLEY IMPLANT INSTITUTE
Practice address
1330 Amherst St
Ste C
Winchester, VA 22601-3000
Phone
(540) 662-6400
Fax
(540) 662-8681
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Victor G Saunders
Title
President
Phone
(540) 662-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 0401006612 VA Primary

Addresses

Primary practice location

1330 Amherst St
Ste C
Winchester, VA 22601-3000

Mailing address

1330 Amherst St
Ste C
Winchester, VA 22601-3000
Phone (540) 662-6400

National Provider Directory

National Provider Directory
Tax ID family
Shenandoah Valley Implant Institute2 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

1330 Amherst St
Ste C
Winchester, VA 22601
Phone (540) 662-6400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316060072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 AMHERST ST",
            "address_2": "STE C",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013000",
            "telephone_number": "540-662-6400",
            "fax_number": "540-662-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 AMHERST ST",
            "address_2": "STE C",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013000",
            "telephone_number": "540-662-6400",
            "fax_number": "540-662-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH VALLEY IMPLANT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-662-6400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401006612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.