Stone Ridge Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

STONE RIDGE PEDIATRIC DENTISTRY PLLC

Practice address

24600 Millstream Dr
Stone Ridge, VA 20105-5685

Phone

(703) 867-4331

NPI assigned

May 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Arteaga Wood, DDS, MS

Title

Pediatric Dentist

Phone

(703) 867-4331

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1396301990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 AVONLEA WAY",
            "city": "CATHARPIN",
            "state": "VA",
            "postal_code": "201432417",
            "telephone_number": "703-867-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201055685",
            "telephone_number": "703-867-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE RIDGE PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ARTEAGA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "703-867-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@stoneridgesmiles.com",
            "affiliation": "N",
            "address_1": "24600 Millstream Dr",
            "city": "Stone Ridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201055685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Casey A Sarafinas, LPC
• Daniel J Savage, M.ED
• Rachayl Leigh Shaffer, PA-C
• Zamarit Sneed Simpkins
• Heather Singleton, LMFT
• Deirdre Streufert
• Melanie Fawcett Summerell, RPH
• The Wellness Connection

• Pediatric Dentistry in Stone Ridge, VA
• Providers in Stone Ridge, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.