Just 4 Kids Pediatric Dentistry and Sedation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JUST 4 KIDS PEDIATRIC DENTISTRY AND SEDATION

Practice address

4301 W Hundred Rd
Chester, VA 23831-1959

Phone

(804) 318-1623

Fax

(804) 454-1786

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brian O Burke, DMD

Title

Dentist/Owner

Phone

(804) 562-2667

Specialties & licenses 1

Addresses

Tax ID family

Just 4 Kids Pediatric Dentistry and Sedation2 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.

• Just 4 Kids Pediatric Dentistry and Sedation

  • Pediatric Dentistry
  • North Chesterfield, VA
  • NPI 1184037483
  NPD tax ID

Locations

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1376948794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311959",
            "telephone_number": "804-318-1623",
            "fax_number": "804-454-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311959",
            "telephone_number": "804-318-1623",
            "fax_number": "804-454-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 KIDS PEDIATRIC DENTISTRY AND SEDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-562-2667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brianne Kehoe, MOT, ORT/L
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• Pediatric Dentistry in Chester, VA
• Providers in Chester, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.