Roanoke Valley Dental

Primary specialty

DentistTaxonomy code 122300000X

License

0401413402 Issued in VA

Legal business name

ROANOKE VALLEY DENTAL

Practice address

1618 Grandin Rd SW
Roanoke, VA 24015-2308

Phone

(540) 345-4894

NPI assigned

Dec 2, 2014

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alice Bower, D.D.S.NPI 1134432669

Title

Sole Proprietor

Phone

(540) 345-4894

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Alice Pham Bower, D.D.S.

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1134432669
  NPD (past) Authorized official
• Ronald Sheppard Sharpley, DDS

  • Dentist
  • Roanoke, VA
  • NPI 1982628731
  NPD (past)

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1700283082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152308",
            "telephone_number": "540-345-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152308",
            "telephone_number": "540-345-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE VALLEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "540-345-4894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roanoke TMS
• Roanoke Urgent Care Associates PC (UCare Health Center)
• Roanoke Valley Cardiology Associates (Cardiology Associates of Virginia)
• Roanoke Valley Chiropractic & Clinical Nutrition Center PC
• Roanoke Valley Counseling Center, LLC (Roanoke Valley Counseling Center)
• Roanoke Valley ENT & Allergy PC
• Roanoke Valley Healthcare Partners, LLC
• Roanoke Valley Speech and Hearing Center, Inc.
• Roanoke Valley Speech and Hearing Center, Inc.
• Roanoke Valley Speech and Hearing Center, Inc.

• Dentist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.