Individual provider Active NPI

Nora Hermes Steadman, DDS

  • General Practice Dentistry
  • Mechanicsville, VA
National Provider Identifier
1447786082
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416480 Issued in VA
Practice address
8203 Center Path Lane
Sparkle Pediatric Dentistry
Mechanicsville, VA 23116
Phone
(804) 746-7382
NPI assigned
May 2, 2017
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416480 VA Primary

Addresses

Primary practice location

8203 Center Path Lane
Sparkle Pediatric Dentistry
Mechanicsville, VA 23116

Mailing address

3733 Chellowe Rd
Richmond, VA 23225-1232
Phone (703) 932-2514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170731001662 VA Order and Referring Only - DentistPractitioner - Dentist 2163793837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401416480VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1447786082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 CHELLOWE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251232",
            "telephone_number": "703-932-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 CENTER PATH LANE",
            "address_2": "SPARKLE PEDIATRIC DENTISTRY",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-746-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEADMAN",
        "first_name": "NORA",
        "middle_name": "HERMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.