Richard W Cottrell, D D S P C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008855 Issued in VA

Practice address

11060 Smile Way
King George, VA 22485-3470

Phone

(540) 775-7671

Fax

(540) 775-0626

NPI assigned

Oct 24, 2006

Last updated

Aug 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Richard Cottrell DDS PC

  • General Practice Dentistry
  • King George, VA
  • NPI 1538242151
  NPD (past) Authorized official
• Dental Professionals of Virginia, P.C.

  dba Dental Care on Smile Way

  • General Practice Dentistry
  • King George, VA
  • NPI 1902794621
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1598848160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11060 SMILE WAY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853470",
            "telephone_number": "540-775-7671",
            "fax_number": "540-775-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11060 SMILE WAY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853470",
            "telephone_number": "540-775-7671",
            "fax_number": "540-775-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "D D S P C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "978187",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Morton Combs, MSN, APRN FNP-C
• Commonwealth of Virginia State Board of Health (King George Health Department)
• Community Dental Inc
• Convenience Urgent Care
• Michael Joseph Costa, M.D.
• Sharon Cross, LCSW
• Jennifer Ellen Crossman, LDO
• Jacqueline Marie Dahl, FNP
• Dahlgren Chiropractic Clinic, Inc
• Davis Cab of Colonial Beach

• General Practice Dentistry in King George, VA
• Providers in King George, 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 Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.