New River Valley Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEW RIVER VALLEY DENTAL, PLLC

Practice address

1400 S Main St Ste 1
Blacksburg, VA 24060-5506

Phone

(540) 951-2260

Fax

(540) 951-2268

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin T Matthews, D.D.S.NPI 1134615321

Title

Manager

Phone

(719) 685-6879

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Toliver Matthews, D.D.S.

  • General Practice Dentistry
  • Blacksburg, VA
  • NPI 1134615321
  NPD (past) Authorized official
• Kimberlyn R Atherton Jenkins, DDS

  • General Practice Dentistry
  • Roswell, GA
  • NPI 1164484390
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1821650607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 PLYMOUTH ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240608256",
            "telephone_number": "719-685-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MAIN ST STE 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605506",
            "telephone_number": "540-951-2260",
            "fax_number": "540-951-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER VALLEY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-685-6879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134615321",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New River Periodontics and Dental Implant Center, PC
• New River Pharmacy LLC
• New River Valley Community Services
• New River Valley Community Services
• New River Valley Community Services
• New River Valley Orthopaedics & Sports Medicine, Inc.
• New River Valley Podiatry & Foot Surgery PC
• New River Women'S Health
• Bertram J Newmark, M.D.
• Lance Reece Nielson, PH D

• Dental Clinic/Center in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.