Commonwealth Dental Anesthesia Associates PC

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

COMMONWEALTH DENTAL ANESTHESIA ASSOCIATES PC

Practice address

1101 Haxall PT
Unit 1004
Richmond, VA 23219-3941

Phone

(434) 242-5446

NPI assigned

Jul 28, 2015

Last updated

Jul 28, 2015By 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

Dr. Heather Ballentine, DDS

Title

Dentist Anesthesiologist

Phone

(646) 789-3860

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1437534708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HAXALL PT",
            "address_2": "UNIT 1004",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HAXALL PT",
            "address_2": "UNIT 1004",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193941",
            "telephone_number": "434-242-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH DENTAL ANESTHESIA ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "BALLENTINE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DENTIST ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "646-789-3860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Anesthesiology in Richmond, VA
• Providers in Richmond, VA by specialty
• Dental Anesthesiology in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.