Individual provider Active NPI

Richard S Mansfield, DDS

  • Dentist
  • Waynesboro, VA
National Provider Identifier
1841364098
Registry record updated Jul 8, 2007
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5900 Issued in VA
Practice address
113 Stonewall Dr
Waynesboro, VA 22980
Phone
(540) 943-2859
Fax
(540) 943-2681
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 5900 VA Primary

Addresses

Primary practice location

113 Stonewall Dr
Waynesboro, VA 22980

Mailing address

113 Stonewall Dr
Waynesboro, VA 22980
Phone (540) 943-2859

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
I20150610000704 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9032430459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5900VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841364098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 STONEWALL DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "22980",
            "telephone_number": "540-943-2859",
            "fax_number": "540-943-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 STONEWALL DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "22980",
            "telephone_number": "540-943-2859",
            "fax_number": "540-943-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "RICHARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "5900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

Verify at the official NPI Registry.