Active NPI
William Paul Piscitelli, D.D.S.
- Pediatric Dentistry
- Richmond, VA
National Provider Identifier
1891718557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401411742
- Practice address
- 6900 Forest Ave
Suite 110
Richmond, VA 23230-1729 - Phone
- (804) 893-8715
- Fax
- (804) 285-1292
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2994 | WV | |
| Pediatric Dentistry | 1223P0221X | 0401411742 | VA | Primary |
Addresses
Primary practice location
6900 Forest Ave
Suite 110
Richmond, VA 23230-1729
Mailing address
6900 Forest Ave
Suite 110
Richmond, VA 23230-1729
Phone (804) 893-8715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06778 | Other | VA | GROUP PTAN |
| 0138580000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401411742 | VA | MD | Pediatric Dentist |
| 2994 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St Marys Hospital of Richmond LLC | Current | Accepting new patients | |
| Bon Secours St. Mary'S Hospital of Richmond LLC | Current | Accepting new patients | |
| Bon Secours St Mary'S Hospital of Richmond LLC | Pediatric Dentistry | Current | Accepting new patients |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients |
Locations
6900 Forest Ave
Ste 110
Richmond, VA 23230
Phone (804) 893-8692
5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
Interoperability endpoints
- wpiscitelli1154710@direct.bsmhealth.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
- Pediatric Dentistry
- Richmond, VA
- NPI 1265706188
-
- Land Ambulance
- Richmond, VA
- NPI 1124772470
-
- Infectious Disease Physician
- Richmond, VA
- NPI 1063772143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1891718557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 FOREST AVE",
"address_2": "SUITE 110",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301729",
"telephone_number": "804-893-8715",
"fax_number": "804-285-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 FOREST AVE",
"address_2": "SUITE 110",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301729",
"telephone_number": "804-893-8715",
"fax_number": "804-285-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISCITELLI",
"first_name": "WILLIAM",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WV",
"license": "2994",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401411742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06778",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0138580000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.