Organization Active NPI

New River Periodontics and Dental Implant Center, PC

  • Periodontics
  • Blacksburg, VA
National Provider Identifier
1881107100
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0401006718 Issued in VA
Legal business name
NEW RIVER PERIODONTICS AND DENTAL IMPLANT CENTER, PC
Practice address
2612 Sheffield Drive
Blacksburg, VA 24060
Phone
(540) 951-4848
Fax
(540) 951-0874
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Dr. John Joseph Buyer Jr., D.D.S.
Title
Owner/Periodontist
Phone
(540) 951-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 0401006718 VA Primary

Addresses

Primary practice location

2612 Sheffield Drive
Blacksburg, VA 24060

Mailing address

2612 Sheffield Drive
Blacksburg, VA 24060
Phone (540) 951-4848

National Provider Directory

National Provider Directory

Locations

2612 Sheffield Dr
Blacksburg, VA 24060
Phone (540) 951-4848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1881107100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 SHEFFIELD DRIVE",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-951-4848",
            "fax_number": "540-951-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 SHEFFIELD DRIVE",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-951-4848",
            "fax_number": "540-951-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER PERIODONTICS AND DENTAL IMPLANT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "BUYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PERIODONTIST",
        "authorized_official_telephone_number": "540-951-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401006718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.