Organization Active NPI

Pediatric Headache Center of Richmond, PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Richmond, VA
National Provider Identifier
1326411190
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
0101247187 Issued in VA
Legal business name
PEDIATRIC HEADACHE CENTER OF RICHMOND, PLLC
Practice address
2500 Gaskins Rd
Suite B
Richmond, VA 23238-1480
Phone
(804) 658-5385
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dr. Alison E Alford, MDNPI 1194934596
Title
Owner
Phone
(804) 658-5385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X 0101247187 VA Primary

Addresses

Primary practice location

2500 Gaskins Rd
Suite B
Richmond, VA 23238-1480

Mailing address

2500 Gaskins Rd
Suite B
Richmond, VA 23238-1480
Phone (804) 658-5385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221000490 VA Part B Supplier - Clinic/Group Practice 3274834023 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

2500 Gaskins Rd
Ste B
Richmond, VA 23238
Phone (804) 658-5385

Practitioners & affiliated clinicians

Practitioners 3

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": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1326411190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GASKINS RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381480",
            "telephone_number": "804-658-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GASKINS RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381480",
            "telephone_number": "804-658-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEADACHE CENTER OF RICHMOND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-658-5385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "VA",
            "license": "0101247187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.