NPIMap

Organization Active NPI

Warrenton Dental Care

  • General Practice Dentistry
  • Warrenton, VA
National Provider Identifier
1487027355
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412481 Issued in VA
Legal business name
WARRENTON DENTAL CARE
Practice address
381 Stuyvesant St Ste 3
Warrenton, VA 20186-2400
Phone
(540) 347-2233
Fax
(540) 341-4700
NPI assigned
Nov 2, 2015
Organization subpart
Yes
Parent organization
POTOMAC DENTAL CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Dr. Ryan Michael Shearer, DDSNPI 1144452962
Title
Dentist/Owner
Phone
(540) 347-2233

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 0401412481 VA Primary

Addresses

Primary practice location

381 Stuyvesant St Ste 3
Warrenton, VA 20186-2400

Mailing address

381 Stuyvesant St Ste 3
Warrenton, VA 20186-2400
Phone (540) 347-2233

National Provider Directory

National Provider Directory
Tax ID family
Warrenton Dental Care2 organizations share this tax ID, including this one
Part of
Giovanni P Iuculano DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

381 Stuyvesant St
Ste 3
Warrenton, VA 20186
Phone (540) 347-2233

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1487027355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 STUYVESANT ST STE 3",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862400",
            "telephone_number": "540-347-2233",
            "fax_number": "540-341-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 STUYVESANT ST STE 3",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862400",
            "telephone_number": "540-347-2233",
            "fax_number": "540-341-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENTON DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTOMAC DENTAL CARE, PLLC",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "540-347-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.