NPIMap

Organization Active NPI

Spring Creek Family Dentistry & Orthodontics

  • Oral and Maxillofacial Pathology Dentistry
  • Gordonsville, VA
National Provider Identifier
1881923654
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
04010495 Issued in VA
Legal business name
SPRING CREEK FAMILY DENTISTRY & ORTHODONTICS
Practice address
34 Jefferson Court
Gordonsville, VA 22942
Phone
(540) 832-3232
NPI assigned
Dec 8, 2009
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Bernie E. Chisholm
Title
Practice Administrator
Phone
(540) 832-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 04010495 VA Primary

Addresses

Primary practice location

34 Jefferson Court
Gordonsville, VA 22942

Mailing address

34 Jefferson Court
Gordonsville, VA 22942
Phone (540) 832-3232

National Provider Directory

National Provider Directory

Locations

34 Jefferson Ct
Zion Crossroads, VA 22942
Phone (540) 832-3232

Practitioners & affiliated clinicians

Practitioners 6

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": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1881923654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEFFERSON COURT",
            "city": "GORDONSVILLE",
            "state": "VA",
            "postal_code": "22942",
            "telephone_number": "540-832-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEFFERSON COURT",
            "city": "GORDONSVILLE",
            "state": "VA",
            "postal_code": "22942",
            "telephone_number": "540-832-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK FAMILY DENTISTRY & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "540-832-3232"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "VA",
            "license": "04010495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordonsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.