Active NPI
Frank Ashton Bolton III
- General Practice Dentistry
- Mechanicsville, VA
National Provider Identifier
1477754356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401005458
- Practice address
- 9245 Shady Grove Rd
Suite a
Mechanicsville, VA 23116-2804 - Phone
- (804) 730-1178
- Fax
- (804) 730-6778
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401005458 | VA | Primary |
Addresses
Primary practice location
9245 Shady Grove Rd
Suite a
Mechanicsville, VA 23116-2804
Mailing address
9245 Shady Grove Rd
Suite a
Mechanicsville, VA 23116-2804
Phone (804) 730-1178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401005458 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477754356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9245 SHADY GROVE RD",
"address_2": "SUITE A",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162804",
"telephone_number": "804-730-1178",
"fax_number": "804-730-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9245 SHADY GROVE RD",
"address_2": "SUITE A",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162804",
"telephone_number": "804-730-1178",
"fax_number": "804-730-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "FRANK",
"middle_name": "ASHTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401005458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
- Amma Ankwah Boafo, NP
- Lia Boggs
- Wendy Boggs
- Alison Bollander
- Steve Bolling, LPTA
- Bon Secours - Memorial Regional Medical Center, Inc.
- Bon Secours Medical Group Richmond Primary Care LLC
- Bon Secours Medical Group Richmond Specialty Care LLC
- Bon Secours Medical Group Richmond Specialty Care LLC
- Bon Secours Memorial Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.