Individual provider Active NPI

Jennifer Tran Wheeler, DDS

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1609305218
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415674 Issued in VA
Practice address
7820 Shrader Rd
Richmond, VA 23294-4222
Phone
(804) 379-6806
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401415674 VA Primary

Addresses

Primary practice location

7820 Shrader Rd
Richmond, VA 23294-4222

Mailing address

7820 Shrader Rd
Richmond, VA 23294-4222
Phone (804) 262-1060

Other practice location 1

8203 Center Path Ln Ste A
Mechanicsville, VA 23116-4060
Phone (804) 746-7382

Other practice location 2

3400 Haydenpark Ln Ste 203
Henrico, VA 23233-7867
Phone (804) 262-1060

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

LicenseStateTypeSpecialty
0401415674VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
River Run Dental of Winterfield Crossing, PLLC PastSince Nov 9, 2021 Accepting new patients
River Run Dental of Short Pump, PLLC PastSince Oct 24, 2021 Accepting new patients
River Run Dental Midlothian PLLC General Practice PastSince Jul 5, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1609305218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 SHRADER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944222",
            "telephone_number": "804-262-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 SHRADER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944222",
            "telephone_number": "804-379-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8203 Center Path Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231164060",
            "country_code": "US",
            "telephone_number": "804-746-7382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Haydenpark Ln Ste 203",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232337867",
            "country_code": "US",
            "telephone_number": "804-262-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JENNIFER",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.