NPIMap

Organization Active NPI

USA Dental PC

  • General Practice Dentistry
  • Spotsylvania, VA
National Provider Identifier
1699416024
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
USA DENTAL PC
Doing business as
Brilliance Dental
Practice address
9137 Courthouse Rd Ste 100
Spotsylvania, VA 22553-1969
Phone
(540) 582-6847
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Jane Hammond
Title
Insurance Administrator
Phone
(404) 277-9891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9137 Courthouse Rd Ste 100
Spotsylvania, VA 22553-1969

Mailing address

9137 Courthouse Rd Ste 100
Spotsylvania, VA 22553-1969
Phone (540) 582-6847

Other names 1

  • Brilliance Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9137 Courthouse Rd
Ste 100
Spotsylvania, VA 22553
Phone (540) 582-6847

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1699416024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 COURTHOUSE RD STE 100",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531969",
            "telephone_number": "540-582-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 COURTHOUSE RD STE 100",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531969",
            "telephone_number": "540-582-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-277-9891"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliance Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spotsylvania, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.