Organization Active NPI

Chippenham Pediatric Specialists LLC

Doing business as CJW Pediatrics

  • Pediatrics Physician
  • Richmond, VA
National Provider Identifier
1760548259
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHIPPENHAM PEDIATRIC SPECIALISTS LLC
Doing business as
CJW Pediatrics
Practice address
101 Cowardin Ave
Ste. 207
Richmond, VA 23224-2078
Phone
(804) 237-7761
Fax
(804) 864-5216
NPI assigned
Dec 29, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carol Smith
Title
Vice President
Phone
(800) 661-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X VA Primary

Addresses

Primary practice location

101 Cowardin Ave
Ste. 207
Richmond, VA 23224-2078

Mailing address

101 Cowardin Ave
Ste. 207
Richmond, VA 23224-2078
Phone (804) 237-7761

Other identifiers 1

IdentifierTypeStateIssuer
1760548259MedicaidVA

Other names 1

  • CJW Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

101 Cowardin Ave
Ste 207
Richmond, VA 23224
Phone (804) 233-8534

101 Cowardin Ave
Ste 203
Richmond, VA 23224
Phone (804) 233-8534

Practitioners & affiliated clinicians

Practitioners 3

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760548259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COWARDIN AVE",
            "address_2": "STE. 207",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242078",
            "telephone_number": "804-237-7761",
            "fax_number": "804-864-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COWARDIN AVE",
            "address_2": "STE. 207",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242078",
            "telephone_number": "804-237-7761",
            "fax_number": "804-864-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPENHAM PEDIATRIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-661-3365"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760548259",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CJW Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.