Active NPI
Shenandoah Endodontics LLC
Doing business as shenandoah Endodontics
- Endodontics
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 1881981439
- Legal business name
- SHENANDOAH ENDODONTICS LLC
- Doing business as
- shenandoah Endodontics
- Practice address
- 1800 Plaza Dr
Winchester, VA 22601-6365 - Phone
- (540) 779-0101
- NPI assigned
- Jun 9, 2018
- Last updated
- Jun 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diego Barreto Andrade, D.D.S
- Title
- Manager
- Phone
- (407) 580-5443
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 1881981439 | VA | Primary |
Addresses
Primary practice location
1800 Plaza Dr
Winchester, VA 22601-6365
Mailing address
2623 Middle Rd
Winchester, VA 22601-6400
Phone (407) 580-5443
Other names 1
- shenandoah Endodontics
National Provider Directory
National Provider DirectoryLocations
1800 Plaza Dr
Winchester, VA 22601
Phone (540) 667-1010
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.
-
- Endodontics
- Winchester, VA
- NPI 1881981439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528502400000",
"number": "1821581356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 MIDDLE RD",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016400",
"telephone_number": "407-580-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PLAZA DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016365",
"telephone_number": "540-779-0101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHENANDOAH ENDODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-09",
"last_updated": "2018-06-09",
"status": "A",
"authorized_official_last_name": "ANDRADE",
"authorized_official_first_name": "DIEGO",
"authorized_official_middle_name": "BARRETO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-580-5443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "1881981439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "shenandoah Endodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winchester, VA
- Tamara B Shearrow, N.P.
- Kelly Anandi Shekey
- Erica M Shell, LCSW
- Jessica Lynn Shelton, MS LMHP-R
- Ryan E Shelton
- Shenandoah Family Institute, Inc.
- Shenandoah Head and Neck Specialists, PLC
- Shenandoah Health Associates, LLC
- Shenandoah Memorial Hospital, Inc. (Valley Health Winchester Family Practice)
- Shenandoah Oncology Assoc PC (Richard M Ingram MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.