Organization Active NPI

Richard Grundy DDS and Associates, PC

  • General Practice Dentistry
  • Burke, VA
National Provider Identifier
1356805667
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD GRUNDY DDS AND ASSOCIATES, PC
Doing business as
Logical Dentistry
Practice address
5204A Rolling Rd
Burke, VA 22015-4694
Phone
(703) 663-9977
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Richard Grundy, DDS
Title
Owner/Dentist
Phone
(703) 755-5936

Specialties & licenses 1

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

Addresses

Primary practice location

5204A Rolling Rd
Burke, VA 22015-4694

Mailing address

PO Box 518
Centreville, VA 20122-0518
Phone (703) 755-5936

Other names 1

  • Logical Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1356805667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201220518",
            "telephone_number": "703-755-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204A ROLLING RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154694",
            "telephone_number": "703-663-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GRUNDY DDS AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "GRUNDY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "703-755-5936",
        "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": [
        {
            "organization_name": "Logical Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.