Organization Active NPI

Johnson Health Center

Doing business as Bedford Community Dental Center

  • Dentist
  • Bedford, VA
National Provider Identifier
1609203652
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JOHNSON HEALTH CENTER
Doing business as
Bedford Community Dental Center
Practice address
600 Bedford Ave
Bedford, VA 24523-2452
Phone
(434) 929-1400
Fax
(434) 929-0410
NPI assigned
Oct 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Mr. Gary Campbell
Title
Ceo
Phone
(434) 455-2480

Specialties & licenses 1

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

Addresses

Primary practice location

600 Bedford Ave
Bedford, VA 24523-2452

Mailing address

134 Elon Rd
Madison Heights, VA 24572-1966
Phone (434) 455-2480

Other identifiers 1

IdentifierTypeStateIssuer
1609203652MedicaidVA

Other names 1

  • Bedford Community Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1609203652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ELON RD",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245721966",
            "telephone_number": "434-455-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BEDFORD AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232452",
            "telephone_number": "434-929-1400",
            "fax_number": "434-929-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-455-2480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609203652",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford Community Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bedford Community Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.