Active NPI
Victoria White Crowder, DDS
- Dentist
- Chester, VA
National Provider Identifier
1790066652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413203
- Practice address
- 10322 Iron Bridge Rd
Chester, VA 23831-1425 - Phone
- (804) 717-5400
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401413203 | VA | Primary |
Addresses
Primary practice location
10322 Iron Bridge Rd
Chester, VA 23831-1425
Mailing address
2405 Skeet St
Henrico, VA 23294-3501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151218000985 | VA | Order and Referring Only - Dentist | 1456505650 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melanie a Bach DDS PLLC | Past | Accepting new patients | |
| M Scott Gore DDS PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Midlothian, VA
- NPI 1609925908
-
- Dental Clinic/Center
- Chester, VA
- NPI 1730321118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345939200000",
"number": "1790066652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 SKEET ST",
"city": "HENRICO",
"state": "VA",
"postal_code": "232943501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10322 IRON BRIDGE RD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238311425",
"telephone_number": "804-717-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "VICTORIA",
"middle_name": "WHITE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2012-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.