NPIMap

Organization Active NPI

David C Circeo, DDS PC

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1609318765
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007452 Issued in VA
Legal business name
DAVID C CIRCEO, DDS PC
Practice address
6113 Lakeside Ave
Richmond, VA 23228-5236
Phone
(804) 262-9824
Fax
(804) 264-2834
NPI assigned
Nov 7, 2016
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Dr. David Circeo, DDSNPI 1205955713
Title
Dentist/Owner
Phone
(804) 262-9824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401007452 VA Primary

Addresses

Primary practice location

6113 Lakeside Ave
Richmond, VA 23228-5236

Mailing address

6113 Lakeside Ave
Richmond, VA 23228-5236
Phone (804) 262-9824

National Provider Directory

National Provider Directory
Tax ID family
David C Circeo DDS PC2 organizations share this tax ID, including this one
Part of
Russell Mosher DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6113 Lakeside Ave
Richmond, VA 23228
Phone (804) 262-9824

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1609318765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 LAKESIDE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285236",
            "telephone_number": "804-262-9824",
            "fax_number": "804-264-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6113 LAKESIDE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285236",
            "telephone_number": "804-262-9824",
            "fax_number": "804-264-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C CIRCEO, DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "CIRCEO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-262-9824",
        "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": "0401007452",
            "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 7, 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.