NPIMap

Organization Active NPI

Dr. Scott J. Golrich

  • Dentist
  • Yorktown, VA
National Provider Identifier
1508261827
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008751 Issued in VA
Legal business name
DR. SCOTT J. GOLRICH
Doing business as
a division of Atlantic Dental Care
Practice address
4030 George Washington Mem Hwy
Ste a
Yorktown, VA 23692-2619
Phone
(757) 898-4646
Fax
(757) 898-8264
NPI assigned
Oct 29, 2014
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Dr. Scott J Golrich, DMD
Title
Dentist
Phone
(757) 898-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401008751 VA Primary

Addresses

Primary practice location

4030 George Washington Mem Hwy
Ste a
Yorktown, VA 23692-2619

Mailing address

4030 George Washington Mem Hwy
Ste a
Yorktown, VA 23692-2619
Phone (757) 898-4646

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Division of Atlantic Dental Care2 organizations share this tax ID, including this one
Part of
Melvin E Cruser III DDS

Other organizations with this tax ID 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1508261827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 GEORGE WASHINGTON MEM HWY",
            "address_2": "STE A",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922619",
            "telephone_number": "757-898-4646",
            "fax_number": "757-898-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 GEORGE WASHINGTON MEM HWY",
            "address_2": "STE A",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922619",
            "telephone_number": "757-898-4646",
            "fax_number": "757-898-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SCOTT J. GOLRICH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "GOLRICH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-898-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.