NPIMap

Organization Active NPI

Marybeth Wicker, DDS, PC

  • Dental Clinic/Center
  • Richmond, VA
National Provider Identifier
1750538203
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401410286 Issued in VA
Legal business name
MARYBETH WICKER, DDS, PC
Practice address
9017 Forest Hill Ave
Richmond, VA 23235-3051
Phone
(804) 320-3200
NPI assigned
Aug 26, 2008
Last updated
Aug 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Marybeth WickerNPI 1558460410
Title
President
Phone
(804) 320-3200

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 0401410286 VA Primary

Addresses

Primary practice location

9017 Forest Hill Ave
Richmond, VA 23235-3051

Mailing address

9017 Forest Hill Ave
Richmond, VA 23235-3051
Phone (804) 320-3200

National Provider Directory

National Provider Directory

Locations

9017 Forest Hill Ave
North Chesterfield, VA 23235
Phone (804) 320-3200

Practitioners & affiliated clinicians

Practitioners 1

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": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1750538203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 FOREST HILL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232353051",
            "telephone_number": "804-320-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 FOREST HILL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232353051",
            "telephone_number": "804-320-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYBETH WICKER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-320-3200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401410286",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 26, 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.