LPDG Robious Road Pedo Professional Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

LPDG ROBIOUS ROAD PEDO PROFESSIONAL CORPORATION

Doing business as

Midlothian Orthodontics

Practice address

11601 Robious Rd Ste 120
Midlothian, VA 23113-5605

Phone

(804) 459-4888

NPI assigned

Mar 23, 2022

Last updated

Apr 20, 2022By 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

Marie Romero

Title

Credentialing Specialist

Phone

(720) 255-6371

Specialties & licenses 1

Addresses

Other names 1

• Midlothian Orthodontics Doing business as

Locations

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.

• Nickolas Lawrence Koenig, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Midlothian, VA
  • NPI 1104602135
  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1477202679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 S ULSTER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372853",
            "telephone_number": "720-603-4763",
            "fax_number": "720-532-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 ROBIOUS RD STE 120",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135605",
            "telephone_number": "804-459-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPDG ROBIOUS ROAD PEDO PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-255-6371"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midlothian Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Anne Lower, CCC-SLP
• Destiny Lowman, LCSWA
• Katherine Lenzi Hillgrove Lowry, MED
• Robyn Willhide Lowry, PT, MSPT
• Faustina Alejandra Lozada Orquera, MD
• LPDG Robious Road Pedo Professional Corporation (Robious Crossing Pediatric Dentistry)
• Steven R Lubbe, D.M.D.
• Greggy Lubin, DNP, PMHNP-C
• Jane Alexander Lucas, DPT
• Kathryn Dianne Lucas

• Orthodontics and Dentofacial Orthopedics Dentistry in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.