NPIMap

Organization Active NPI

Piedmont Pediatric Dentistry PLC

  • Dental Clinic/Center
  • Waynesboro, VA
National Provider Identifier
1740613611
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401413204 Issued in VA
Legal business name
PIEDMONT PEDIATRIC DENTISTRY PLC
Practice address
2520 W Main St
Waynesboro, VA 22980-1614
Phone
(540) 943-3315
Fax
(540) 943-1772
NPI assigned
Aug 15, 2013
Organization subpart
Yes
Parent organization
PIEDMONT PEDIATRIC DENTISTRY PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Barrett W R Peters, DDS MSDNPI 1265711329
Title
Member/Manager
Phone
(434) 973-4344

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
Dental Clinic/Center 261QD0000X 0401413204 VA Primary

Addresses

Primary practice location

2520 W Main St
Waynesboro, VA 22980-1614

Mailing address

240 Hydraulic Ridge Rd
Suite 203
Charlottesville, VA 22901-8130

Other names 1

  • Piedmont Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Pediatric Dentistry PLC2 organizations share this tax ID, including this one
Part of
Piedmont Pediatric Dentistry PLC

Other organizations with this tax ID 1

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

Locations

2520 W Main St
Waynesboro, VA 22980
Phone (540) 943-3315

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 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": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1740613611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W MAIN ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801614",
            "telephone_number": "540-943-3315",
            "fax_number": "540-943-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PEDIATRIC DENTISTRY PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIEDMONT PEDIATRIC DENTISTRY PLC",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BARRETT",
        "authorized_official_middle_name": "W R",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "434-973-4344",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401413204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.