Organization Active NPI

Craniofacial Pain and Dental Sleep Center of Virginia PLLC

  • General Practice Dentistry
  • Warrenton, VA
National Provider Identifier
1326596297
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CRANIOFACIAL PAIN AND DENTAL SLEEP CENTER OF VIRGINIA PLLC
Practice address
410 Rosedale CT
Ste 170
Warrenton, VA 20186-4329
Phone
(540) 351-0170
Fax
(877) 262-7725
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Bonnie Gene Foster, DDS
Title
Dentist Owner
Phone
(540) 351-0170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

410 Rosedale CT
Ste 170
Warrenton, VA 20186-4329

Mailing address

410 Rosedale CT
Ste 170
Warrenton, VA 20186-4329
Phone (540) 351-0170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250107003906 VA DME Supplier - Oral Surgery - Dentist 2466980289 Practice locations: Warrenton, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1326596297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ROSEDALE CT",
            "address_2": "STE 170",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201864329",
            "telephone_number": "540-351-0170",
            "fax_number": "877-262-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROSEDALE CT",
            "address_2": "STE 170",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201864329",
            "telephone_number": "540-351-0170",
            "fax_number": "877-262-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL PAIN AND DENTAL SLEEP CENTER OF VIRGINIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "540-351-0170",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.