Organization Active NPI

Walter E Saxon Jr DDS PC

  • General Practice Dentistry
  • Dillwyn, VA
National Provider Identifier
1497789291
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WALTER E SAXON JR DDS PC
Practice address
15320 N. James Madison Highway
Dillwyn, VA 23936-0270
Phone
(434) 983-2600
Fax
(434) 983-4806
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Dr. Walter E Saxon Jr., DDSNPI 1770516114
Title
President
Phone
(434) 983-2600

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 Primary

Addresses

Primary practice location

15320 N. James Madison Highway
Dillwyn, VA 23936-0270

Mailing address

PO Box 270
Dillwyn, VA 23936-0270
Phone (434) 983-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160708001599 VA Part B Supplier - Clinic/Group Practice 2365734597 Receives reassigned benefits from 1 practitioner
Practice locations: Dillwyn, VA

National Provider Directory

National Provider Directory

Locations

15320 N James Madison Hwy
Dillwyn, VA 23936
Phone (434) 983-2600

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1497789291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "239360270",
            "telephone_number": "434-983-2600",
            "fax_number": "434-983-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 N. JAMES MADISON HIGHWAY",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "239360270",
            "telephone_number": "434-983-2600",
            "fax_number": "434-983-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER E SAXON JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "SAXON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-983-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillwyn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.