NPIMap

Organization Active NPI

Dental Associates PLLC

  • General Practice Dentistry
  • Salem, VA
National Provider Identifier
1417149436
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL ASSOCIATES PLLC
Practice address
403 Roanoke Blvd
Salem, VA 24153-5007
Phone
(540) 389-0225
Fax
(540) 389-3529
NPI assigned
Aug 14, 2007
Last updated
Aug 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Ms. Rhonda A Kosko
Title
Manager
Phone
(540) 389-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

403 Roanoke Blvd
Salem, VA 24153-5007

Mailing address

403 Roanoke Blvd
Salem, VA 24153-5007
Phone (540) 389-0225

National Provider Directory

National Provider Directory

Locations

403 Roanoke Blvd
Salem, VA 24153
Phone (540) 389-0225

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1417149436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535007",
            "telephone_number": "540-389-0225",
            "fax_number": "540-389-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535007",
            "telephone_number": "540-389-0225",
            "fax_number": "540-389-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "KOSKO",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-389-0225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.