Individual provider Active NPI

Robert David Lenoir, DDS

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1386085447
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04014113981 Issued in VA
Practice address
6901 Patterson Ave
Richmond, VA 23226-3627
Phone
(804) 288-5324
Fax
(804) 285-4098
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 04014113981 VA Primary

Addresses

Primary practice location

6901 Patterson Ave
Richmond, VA 23226-3627

Mailing address

6901 Patterson Ave
Richmond, VA 23226-3627
Phone (804) 288-5324

Other identifiers 1

IdentifierTypeStateIssuer
54-1892654OtherVATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141217000998 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082937370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04014113981VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
GD VA BRSL, PLLC General Practice PastSince Jun 18, 2023 Accepting new patients
DRS Brown and Reynolds PTRS Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1386085447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263627",
            "telephone_number": "804-288-5324",
            "fax_number": "804-285-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263627",
            "telephone_number": "804-288-5324",
            "fax_number": "804-285-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENOIR",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "04014113981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "54-1892654",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.