Organization Active NPI

Staples Mill Family Dentistry PLLC

  • Dentist
  • Henrico, VA
National Provider Identifier
1629987391
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STAPLES MILL FAMILY DENTISTRY PLLC
Practice address
9054 Staples Mill Rd
Henrico, VA 23228-2021
Phone
(347) 255-0954
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Dr. Goutom Bhowmick
Title
Dr
Phone
(347) 255-0954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9054 Staples Mill Rd
Henrico, VA 23228-2021

Mailing address

9054 Staples Mill Rd
Henrico, VA 23228-2021

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1629987391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9054 STAPLES MILL RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9054 STAPLES MILL RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282021",
            "telephone_number": "347-255-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAPLES MILL FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "BHOWMICK",
        "authorized_official_first_name": "GOUTOM",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "347-255-0954",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.