Short Pump Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412502 Issued in VA

Legal business name

SHORT PUMP FAMILY DENTISTRY

Practice address

201 Towne Center West Blvd
Suite 709
Richmond, VA 23233-1196

Phone

(804) 833-3432

NPI assigned

Feb 29, 2016

Last updated

Feb 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yun Tse, DDSNPI 1114068905

Title

Owner

Phone

(804) 833-3432

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Yun Keung Tse, D.D.S.

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1114068905
  NPD (past) Authorized official

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1568822872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 WHEAT RIDGE PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TOWNE CENTER WEST BLVD",
            "address_2": "SUITE 709",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331196",
            "telephone_number": "804-833-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT PUMP FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "TSE",
        "authorized_official_first_name": "YUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-833-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Landon Shoemaker, DO
• Jana Eileen Shook, MD
• Zachary M. Shook, M.D.
• Amanda Shore, LCSW
• David Shore, CSAC
• Short Pump Family Eye Care, PLLC
• Short Pump Imaging LLC (Independence Park Imaging)
• Short Pump Imaging LLC (Independence Park Imaging)
• Short Pump Orthodontics, PC
• Short Pump Pharmacy (RX3 Pharmacy)

• General Practice Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.