Active NPI
Timothy R Wade, DDS
- General Practice Dentistry
- Weyers Cave, VA
National Provider Identifier
1649260472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5379
- Practice address
- 1151 Keezletown Rd
Weyers Cave, VA 24486-2337 - Phone
- (540) 234-8686
- Fax
- (540) 234-8686
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5379 | VA | Primary |
Addresses
Primary practice location
1151 Keezletown Rd
Weyers Cave, VA 24486-2337
Mailing address
PO Box 149
Weyers Cave, VA 24486-0149
Phone (540) 234-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160615002496 | VA | Order and Referring Only - Dentist | 9335430701 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5379 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy R. Wade, DDS | General Practice | Current | Accepting new patients |
Locations
1151 Keezletown Rd
Weyers Cave, VA 24486
Phone (540) 234-8686
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Weyers Cave, VA
- NPI 1306443536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649260472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 149",
"city": "WEYERS CAVE",
"state": "VA",
"postal_code": "244860149",
"telephone_number": "540-234-8686",
"fax_number": "540-234-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 KEEZLETOWN RD",
"city": "WEYERS CAVE",
"state": "VA",
"postal_code": "244862337",
"telephone_number": "540-234-8686",
"fax_number": "540-234-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "TIMOTHY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "5379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weyers Cave, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.