NPIMap

Organization Active NPI

Williamsburg Area Medical Assistance Corporation

  • Public Health Dentistry
  • Williamsburg, VA
National Provider Identifier
1871583393
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
0401002784 Issued in VA
Legal business name
WILLIAMSBURG AREA MEDICAL ASSISTANCE CORPORATION
Doing business as
Olde Towne Medical Center
Practice address
5249 Olde Towne Rd
Williamsburg, VA 23188-8111
Phone
(757) 259-3254
Fax
(757) 220-1953
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mrs. Denise A. Bowles
Title
Business Manager
Phone
(757) 259-3254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X 0401002784 VA Primary

Addresses

Primary practice location

5249 Olde Towne Rd
Williamsburg, VA 23188-8111

Mailing address

5249 Olde Towne Rd
Williamsburg, VA 23188-8111
Phone (757) 259-3254

Other names 1

  • Olde Towne Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Old Towne Medical Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5249 Olde Towne Rd
Williamsburg, VA 23188
Phone (757) 259-3254

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1871583393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 OLDE TOWNE RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888111",
            "telephone_number": "757-259-3254",
            "fax_number": "757-220-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 OLDE TOWNE RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888111",
            "telephone_number": "757-259-3254",
            "fax_number": "757-220-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG AREA MEDICAL ASSISTANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "757-259-3254",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "VA",
            "license": "0401002784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olde Towne Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.