Active NPI
Erin Block Porter, DDS
- Periodontics
- Mechanicsville, VA
National Provider Identifier
1538646906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0401416152
- Practice address
- 6353 Mechanicsville Tpke
Mechanicsville, VA 23111-4568 - Phone
- (804) 730-3400
- NPI assigned
- Jul 27, 2018
- Last updated
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401416152 | VA | |
| Periodontics | 1223P0300X | 0401416152 | VA | Primary |
Addresses
Primary practice location
6353 Mechanicsville Tpke
Mechanicsville, VA 23111-4568
Mailing address
3330 Winterfield Rd
Midlothian, VA 23113-6341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416152 | VA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Family Dentistry PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Midlothian, VA
- NPI 1750435970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1538646906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 WINTERFIELD RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231136341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6353 MECHANICSVILLE TPKE",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231114568",
"telephone_number": "804-730-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "ERIN",
"middle_name": "BLOCK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416152",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401416152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.