NPIMap

Organization Active NPI

David C. Circeo D.D.S., P.C.

  • Dentist
  • Richmond, VA
National Provider Identifier
1740423276
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007452 Issued in VA
Legal business name
DAVID C. CIRCEO D.D.S., P.C.
Practice address
6113 Lakeside Ave
Richmond, VA 23228-5236
Phone
(804) 262-9824
Fax
(804) 264-2834
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
David C. Circeo, D.D.S.NPI 1205955713
Title
Dentist
Phone
(804) 262-9824

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401007452 VA Primary

Addresses

Primary practice location

6113 Lakeside Ave
Richmond, VA 23228-5236

Mailing address

6113 Lakeside Ave
Richmond, VA 23228-5236
Phone (804) 262-9824

Other identifiers 1

IdentifierTypeStateIssuer
1205955713OtherVADENTAL OFFIC

National Provider Directory

National Provider Directory
Tax ID family
David C Circeo DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1740423276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 LAKESIDE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285236",
            "telephone_number": "804-262-9824",
            "fax_number": "804-264-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6113 LAKESIDE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285236",
            "telephone_number": "804-262-9824",
            "fax_number": "804-264-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. CIRCEO D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "CIRCEO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-262-9824",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFIC",
            "identifier": "1205955713",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.