Commonwealth Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401412165 Issued in VA

Legal business name

COMMONWEALTH PEDIATRIC DENTISTRY, PLLC

Practice address

7032 Forest Hill Ave
Richmond, VA 23225-1655

Phone

(804) 621-8299

NPI assigned

Sep 13, 2017

Organization subpart

Yes

Parent organization

CENTRAL VIRGINIA DENTAL CARE PLCAs reported in NPPES

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

Authorized official

Name

Dr. Andrew Zima, DDS

Title

Dentist/Owner

Phone

(804) 339-6957

Specialties & licenses 1

Addresses

Tax ID family

Commonwealth Pediatric Dentistry PLLC3 organizations share this tax ID, including this one

Part of

Russell Mosher DDS PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Commonwealth Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Farmville, VA
  • NPI 1033559059
  NPD tax ID
• Commonwealth Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Farmville, VA
  • NPI 1063955250
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Virginia Dental Care PLC

  • General Practice Dentistry
  • South Chesterfield, VA
  • NPI 1063960649
  NPPES parent name

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1356860134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 A ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011613",
            "telephone_number": "804-339-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7032 FOREST HILL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251655",
            "telephone_number": "804-621-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "ZIMA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-339-6957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401412165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth of Virginia State Board of Health
• Commonwealth Oral & Facial Surgery, PC
• Commonwealth Orthopedic Specialist
• Commonwealth Pain Management and Wellness, PLLC
• Commonwealth Pain Specialists, LLC
• Commonwealth Pediatrics
• Commonwealth Perinatal Associates PC
• Commonwealth Physicians for Women, PC
• Commonwealth Physicians Inc
• Commonwealth Primary Care

• All providers in Richmond, VA
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.