Organization Active NPI

Central Virginia Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lynchburg, VA
National Provider Identifier
1396917415
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401006597 Issued in VA
Legal business name
CENTRAL VIRGINIA ORTHODONTICS, P.C.
Practice address
104 Richeson Dr
Lynchburg, VA 24501-2905
Phone
(434) 385-4746
Fax
(434) 385-0523
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Bruce Edison Bentley Jr., D.D.S.
Title
Pres. Central Virginia Orthontics
Phone
(434) 385-4746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0401006597 VA Primary

Addresses

Primary practice location

104 Richeson Dr
Lynchburg, VA 24501-2905

Mailing address

104 Richeson Dr
Lynchburg, VA 24501-2905
Phone (434) 385-4746

National Provider Directory

National Provider Directory

Locations

104 Richeson Dr
Lynchburg, VA 24501
Phone (434) 385-4746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1396917415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RICHESON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012905",
            "telephone_number": "434-385-4746",
            "fax_number": "434-385-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RICHESON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012905",
            "telephone_number": "434-385-4746",
            "fax_number": "434-385-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDISON",
        "authorized_official_title_or_position": "PRES. CENTRAL VIRGINIA ORTHONTICS",
        "authorized_official_telephone_number": "434-385-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401006597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.