Ronald Wayne Householder, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005792 Issued in VA

Practice address

316 Ben Bolt Avenue
Tazewell, VA 24651

Phone

(276) 988-7522

Fax

(276) 988-5866

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Ronald W Householder DDS PLLC

  • Dental Clinic/Center
  • Tazewell, VA
  • NPI 1255834610
  NPD (past) Authorized official
• Tazewell Dental Sleep Therapy,LLC

  • Dentist
  • Tazewell, VA
  • NPI 1548506975
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871609792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "NORTH TAZEWELL",
            "state": "VA",
            "postal_code": "24630",
            "telephone_number": "276-988-7522",
            "fax_number": "276-988-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BEN BOLT AVENUE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "24651",
            "telephone_number": "276-988-7522",
            "fax_number": "276-988-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEHOLDER",
        "first_name": "RONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Hart, FNP-C
• Mary Beth Hash
• Jenna Hess
• Courtney Elizabeth Hibbs
• Susan Leigh Horne, NP
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• Sher Zaman Khan, MD
• Christie Lewis, LPN
• Thomas M. Lewis, M.ED.

• All providers in Tazewell, VA
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.