Organization Active NPI

Valdivia Dental LLC

  • Dental Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1497545313
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VALDIVIA DENTAL LLC
Practice address
20 Plantation Dr Ste 139
Fredericksburg, VA 22406-6493
Phone
(540) 513-8315
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Waldo Vadivia, DDS
Title
Owner
Phone
(540) 513-8315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20 Plantation Dr Ste 139
Fredericksburg, VA 22406-6493

Mailing address

20 Plantation Dr Ste 139
Fredericksburg, VA 22406-6493
Phone (540) 513-8315

Other names 1

  • Famidental of Falmouth Doing business as

National Provider Directory

National Provider Directory

Locations

20 Plantation Dr
Ste 139
Fredericksburg, VA 22406
Phone (540) 368-2273

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1497545313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PLANTATION DR STE 139",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224066493",
            "telephone_number": "540-513-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLANTATION DR STE 139",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224066493",
            "telephone_number": "540-513-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDIVIA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "VADIVIA",
        "authorized_official_first_name": "WALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-513-8315",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Famidental of Falmouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.