Luray Dental Health Center, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LURAY DENTAL HEALTH CENTER, PC

Practice address

33 N Bank St
Luray, VA 22835-1115

Phone

(703) 895-5779

NPI assigned

Sep 24, 2018

Last updated

Oct 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maggi Evans

Title

Sr Credentialing Specialist

Phone

(720) 603-4763

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Daliah Bazerbashi, DMD

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1548930480
  NPD (past)
• Jeremy L Hodge, DMD

  • Dentist
  • Manassas, VA
  • NPI 1194891242
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1417431503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N BANK ST",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351115",
            "telephone_number": "703-895-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N BANK ST",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351115",
            "telephone_number": "703-895-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LURAY DENTAL HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MAGGI",
        "authorized_official_title_or_position": "SR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4763"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Jose Lopez Mendez, DMD
• Lumos Therapy PLC
• Luray Apothecary Inc (Luray Apothecary)
• Luray Chiropractic and Acupuncture
• Luray Dental Clinic
• Ashley Marie Mann, COTA/L
• Karen Elaine Marshall, CFNP
• Mary Fleury Mayfield, LPC
• McKim and Huffman Inc (McKim and Huffman Pharmacy)
• Niklas Walter Mikelson, FNP-C

• Dental Clinic/Center in Luray, VA
• Providers in Luray, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.