Organization Active NPI

Hopewell Family Dentistry, PC

  • General Practice Dentistry
  • Hopewell, VA
National Provider Identifier
1730687526
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414898 Issued in VA
Legal business name
HOPEWELL FAMILY DENTISTRY, PC
Practice address
210 N 4TH Ave
Hopewell, VA 23860-2504
Phone
(804) 458-3004
Fax
(804) 458-3056
NPI assigned
Jan 26, 2018
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Dr. Jacob Sheppard, DDSNPI 1902287683
Title
Dentist
Phone
(804) 458-3004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401414898 VA Primary

Addresses

Primary practice location

210 N 4TH Ave
Hopewell, VA 23860-2504

Mailing address

210 N 4TH Ave
Hopewell, VA 23860-2504
Phone (804) 458-3004

National Provider Directory

National Provider Directory
Part of
Russell Mosher DDS PC

Locations

210 N 4th Ave
Hopewell, VA 23860
Phone (804) 458-3004

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1730687526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N 4TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602504",
            "telephone_number": "804-458-3004",
            "fax_number": "804-458-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N 4TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602504",
            "telephone_number": "804-458-3004",
            "fax_number": "804-458-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL FAMILY DENTISTRY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-458-3004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.