NPIMap

Organization Active NPI

White Stone Family Practice

  • Family Medicine Physician
  • White Stone, VA
National Provider Identifier
1740267277
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHITE STONE FAMILY PRACTICE
Practice address
30 Shady Lane
White Stone, VA 22578-0046
Phone
(804) 435-3133
Fax
(804) 435-1311
NPI assigned
Dec 27, 2005
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. David Buell Nichols, MD
Title
President
Phone
(804) 435-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

30 Shady Lane
White Stone, VA 22578-0046

Mailing address

PO Box 46
White Stone, VA 22578-0046
Phone (804) 435-3133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1740267277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "WHITE STONE",
            "state": "VA",
            "postal_code": "225780046",
            "telephone_number": "804-435-3133",
            "fax_number": "804-435-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHADY LANE",
            "city": "WHITE STONE",
            "state": "VA",
            "postal_code": "225780046",
            "telephone_number": "804-435-3133",
            "fax_number": "804-435-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE STONE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BUELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-435-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Stone, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.