Organization Active NPI

Bellgrade Dental Center PLC

  • General Practice Dentistry
  • Midlothian, VA
National Provider Identifier
1417977265
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4252 & 0401411077 Issued in VA
Legal business name
BELLGRADE DENTAL CENTER PLC
Practice address
2611 Promenade Pkwy
Midlothian, VA 23113-1431
Phone
(804) 794-6900
Fax
(804) 794-7974
NPI assigned
Jul 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Scott Thews, DDSNPI 1033557780
Title
Doctor/Owner
Phone
(804) 794-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4252 & 0401411077 VA Primary

Addresses

Primary practice location

2611 Promenade Pkwy
Midlothian, VA 23113-1431

Mailing address

2611 Promenade Pkwy
Midlothian, VA 23113-1431
Phone (804) 794-6900

National Provider Directory

National Provider Directory

Locations

2611 Promenade Pkwy
Midlothian, VA 23113
Phone (804) 794-6900

Practitioners & affiliated clinicians

Practitioners 1

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1417977265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 PROMENADE PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131431",
            "telephone_number": "804-794-6900",
            "fax_number": "804-794-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 PROMENADE PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131431",
            "telephone_number": "804-794-6900",
            "fax_number": "804-794-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLGRADE DENTAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "THEWS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "804-794-6900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "4252 & 0401411077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.