NPIMap

Organization Active NPI

Louisa Dental Clinic

  • Public Health or Welfare Agency
  • Louisa, VA
National Provider Identifier
1598838401
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LOUISA DENTAL CLINIC
Practice address
101 Woolfolk Ave Ste 202
Louisa, VA 23093-4264
Phone
(540) 967-4439
Fax
(540) 967-4452
NPI assigned
Nov 16, 2006
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Dr. Lilian R Peake, MD
Title
Director
Phone
(434) 972-6219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

101 Woolfolk Ave Ste 202
Louisa, VA 23093-4264

Mailing address

PO Box 7546
Charlottesville, VA 22906-7546
Phone (434) 972-6219

Other identifiers 1

IdentifierTypeStateIssuer
008450421MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Dickenson Co Health Dep163 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

522 Industrial Dr
Louisa, VA 23093

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1598838401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7546",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229067546",
            "telephone_number": "434-972-6219",
            "fax_number": "434-972-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WOOLFOLK AVE STE 202",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230934264",
            "telephone_number": "540-967-4439",
            "fax_number": "540-967-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "PEAKE",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-972-6219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008450421",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.