NPIMap

Organization Active NPI

Piedmont Pediatric Dentistry PLC

Doing business as Piedmont Pediatric Dentistry

  • Dental Clinic/Center
  • Charlottesville, VA
National Provider Identifier
1497187769
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401413204 Issued in VA
Legal business name
PIEDMONT PEDIATRIC DENTISTRY PLC
Doing business as
Piedmont Pediatric Dentistry
Practice address
240 Hydraulic Ridge Rd
Suite 203
Charlottesville, VA 22901-8130
Phone
(434) 973-4344
Fax
(434) 973-4675
NPI assigned
Aug 8, 2013
Last updated
Oct 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Barrett W R Peters, DDS MSDNPI 1265711329
Title
Member/Manager
Phone
(434) 973-4344

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
Dental Clinic/Center 261QD0000X 0401413204 VA Primary

Addresses

Primary practice location

240 Hydraulic Ridge Rd
Suite 203
Charlottesville, VA 22901-8130

Mailing address

240 Hydraulic Ridge Rd
Suite 203
Charlottesville, VA 22901-8130
Phone (434) 973-4344

Other names 1

  • Piedmont Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Pediatric Dentistry PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1497187769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018130",
            "telephone_number": "434-973-4344",
            "fax_number": "434-973-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018130",
            "telephone_number": "434-973-4344",
            "fax_number": "434-973-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PEDIATRIC DENTISTRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BARRETT",
        "authorized_official_middle_name": "W R",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "434-973-4344",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401413204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.