NPIMap

Organization Active NPI

Shenandoah Valley Orthodontic Specialists, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winchester, VA
National Provider Identifier
1629224043
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401008014 Issued in VA
Legal business name
SHENANDOAH VALLEY ORTHODONTIC SPECIALISTS, PC
Practice address
1010 Amherst St
Winchester, VA 22601-3308
Phone
(540) 667-9662
Fax
(540) 722-0597
NPI assigned
Aug 18, 2008
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Damon Warren Dearment, DDSNPI 1124198759
Title
President
Phone
(540) 667-9662

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401410567 VA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401005422 VA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401008014 VA Primary

Addresses

Primary practice location

1010 Amherst St
Winchester, VA 22601-3308

Mailing address

1010 Amherst St
Winchester, VA 22601-3308
Phone (540) 667-9662

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1629224043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013308",
            "telephone_number": "540-667-9662",
            "fax_number": "540-722-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013308",
            "telephone_number": "540-667-9662",
            "fax_number": "540-722-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH VALLEY ORTHODONTIC SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "DEARMENT",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-667-9662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401410567",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401005422",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401008014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.