Organization Active NPI

Shenandoah Endodontics LLC

Doing business as shenandoah Endodontics

  • Endodontics
  • Winchester, VA
National Provider Identifier
1821581356
Registry record updated Jun 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
1881981439 Issued in VA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2018

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.SNPI 1881981439
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.