NPIMap

Organization Active NPI

Dynamic Dental Health Associates of Virginia, PC

  • General Practice Dentistry
  • Christiansburg, VA
National Provider Identifier
1376971598
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA, PC
Practice address
601 Roanoke St
Christiansburg, VA 24073-3142
Phone
(540) 382-0201
Fax
(540) 382-0202
NPI assigned
Oct 25, 2013
Organization subpart
Yes
Parent organization
DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Nancy Schiaparelli
Title
Chief Financial Officer
Phone
(727) 800-8040

Specialties & licenses 1

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

Addresses

Primary practice location

601 Roanoke St
Christiansburg, VA 24073-3142

Mailing address

136 4TH St N Ste 201
St Petersburg, FL 33701-3889
Phone (727) 800-8026

Other identifiers 1

IdentifierTypeStateIssuer
0170188764MedicaidVA

Other names 1

  • Christianburg Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Dental Health Associates of Virginiapc8 organizations share this tax ID, including this one
Part of
Dynamic Dental Health Associates of Virginiapc

Other organizations with this tax ID 7

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

Locations

9400 4th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 513-2962

601 Roanoke St
Christiansburg, VA 24073
Phone (540) 382-0201

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1376971598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 4TH ST N STE 201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013889",
            "telephone_number": "727-800-8026",
            "fax_number": "727-304-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROANOKE ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733142",
            "telephone_number": "540-382-0201",
            "fax_number": "540-382-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYNAMIC DENTAL HEALTH ASSOCIATES OF VIRGINIA",
        "enumeration_date": "2013-10-25",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SCHIAPARELLI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-800-8040"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170188764",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christianburg Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.