Sycamore Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SYCAMORE FAMILY DENTISTRY

Practice address

1165 Jefferson Green Cir
Midlothian, VA 23113-4300

Phone

(804) 379-7864

Fax

(804) 379-4295

NPI assigned

Feb 9, 2022

Last updated

Feb 9, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL VIRGINIA DENTAL CARE PLCAs reported in NPPES

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

Authorized official

Name

Dr. Jacob Sheppard, DDSNPI 1902287683

Title

Owner Dentist

Phone

(804) 379-7864

Specialties & licenses 1

Addresses

Part of

DRS Rossetti Cosby Kondrossy DDS LC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Virginia Dental Care PLC

  • General Practice Dentistry
  • South Chesterfield, VA
  • NPI 1063960649
  NPPES parent name

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.

• Jacob Sheppard, DDS

  • General Practice Dentistry
  • Hopewell, VA
  • NPI 1902287683
  NPD Authorized official
• Ronald Joe Jessup, DDS

  • Dentist
  • Midlothian, VA
  • NPI 1497961593
  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1609520535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 JEFFERSON GREEN CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134300",
            "telephone_number": "804-379-7864",
            "fax_number": "804-379-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 JEFFERSON GREEN CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134300",
            "telephone_number": "804-379-7864",
            "fax_number": "804-379-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "804-379-7864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quin Sweeney, NP
• Swift Creek Children's Healthcare Corporation (Swift Creek Pediatrics)
• Swift Creek Day Center, LLC
• Swift Creek Eye Center, PC
• Sarah Jayne Switzer, PA-C
• Amber Reynolds Sykes, P.A.
• Molly Sykes
• Rhonda Christine Sykes, D.C.
• Sydney Alexander Nii Odotei Sykes, MD
• Synergyhealth Foot & Ankle Associates, PLLC

• General Practice Dentistry in Midlothian, VA
• Providers in Midlothian, 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 Feb 9, 2022; 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.