Organization Active NPI

Stephens City Family Dentistry, P.C,.

  • General Practice Dentistry
  • Stephens City, VA
National Provider Identifier
1447364278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0568367-7 Issued in VA
Legal business name
STEPHENS CITY FAMILY DENTISTRY, P.C,.
Practice address
175 Warrior Drive
Stephens City, VA 22655
Phone
(540) 869-2600
Fax
(540) 869-7948
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Lee Taliaferro, D.D.S.NPI 1235243148
Title
Secretary/Treasurer
Phone
(540) 869-2600

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0568367-7 VA Primary

Addresses

Primary practice location

175 Warrior Drive
Stephens City, VA 22655

Mailing address

PO Box 819
Stephens City, VA 22655-0819
Phone (540) 869-2600

National Provider Directory

National Provider Directory

Locations

175 Warrior Dr
Stephens City, VA 22655
Phone (540) 869-2600

Practitioners & affiliated clinicians

Practitioners 2

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447364278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226550819",
            "telephone_number": "540-869-2600",
            "fax_number": "540-869-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WARRIOR DRIVE",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "22655",
            "telephone_number": "540-869-2600",
            "fax_number": "540-869-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS CITY FAMILY DENTISTRY, P.C,.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALIAFERRO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "540-869-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0568367-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.