Individual provider Active NPI

Timothy R Wade, DDS

  • General Practice Dentistry
  • Weyers Cave, VA
National Provider Identifier
1649260472
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5379 Issued in VA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615002496 VA Order and Referring Only - DentistPractitioner - Dentist 9335430701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5379VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy R. Wade, DDS General Practice CurrentSince Oct 4, 2020 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.

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

Verify at the official NPI Registry.