Individual provider Active NPI

Paul M Jiral, D.D.S.

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1811038946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007285 Issued in VA
Practice address
6750 Forest Hill Ave
Richmond, VA 23225-1802
Phone
(804) 272-4807
Fax
(804) 320-1695
NPI assigned
Feb 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007285 VA Primary

Addresses

Primary practice location

6750 Forest Hill Ave
Richmond, VA 23225-1802

Mailing address

6750 Forest Hill Ave
Richmond, VA 23225-1802
Phone (804) 272-4807

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720002689 VA Order and Referring Only - DentistPractitioner - Dentist 1355654336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0401007285VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Neibauer Dental Care Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811038946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 FOREST HILL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251802",
            "telephone_number": "804-272-4807",
            "fax_number": "804-320-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 FOREST HILL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251802",
            "telephone_number": "804-272-4807",
            "fax_number": "804-320-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRAL",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.