Joan Manuel Pino, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

04014142222 Issued in VA

Practice address

124 Valley Vista Drive
Woodstock, VA 22664

Phone

(540) 459-9333

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shanadoah County Free Cinic

  • Clinic/Center
  • Woodstock, VA
  • NPI 1225481526
  NPD (past)
• Shenandoah County Free Clinic Inc

  • Public Health or Welfare Agency
  • Woodstock, VA
  • NPI 1235403361
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1851554992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 VALLEY VISTA DR",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641608",
            "telephone_number": "540-459-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 VALLEY VISTA DRIVE",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "22664",
            "telephone_number": "540-459-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO",
        "first_name": "JOAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "VA",
            "license": "04014142222",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George L Phillips, MD
• Susan Phillips, PT
• Ria Philpott, PA-C
• Jordan Mackenzee Phipps, BS
• Patricia Darlene Pine
• Melinda Plauger
• Elisabeth Thompson Provenzano, RPH
• Richard J Provenzano, LCSW
• Heather Kennell Pugh, MA, OTR/L
• John S Pulizzi III, MD

• Public Health Dentistry in Woodstock, VA
• Providers in Woodstock, VA by specialty
• Public Health Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.