Organization Active NPI

Victory Smiles of Virginia

  • Dental Clinic/Center
  • Richmond, VA
National Provider Identifier
1902257082
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VICTORY SMILES OF VIRGINIA
Practice address
1405 Westover Hills Blvd
Suite 6
Richmond, VA 23225-3153
Phone
(804) 505-0337
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Ms. Victoria Grantham
Title
Owner
Phone
(804) 787-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1405 Westover Hills Blvd
Suite 6
Richmond, VA 23225-3153

Mailing address

1405 Westover Hills Blvd
Suite 6
Richmond, VA 23225-3153
Phone (804) 505-0337

National Provider Directory

National Provider Directory

Locations

1405 Westover Hills Blvd
Ste 6
Richmond, VA 23225
Phone (804) 232-0404

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1902257082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WESTOVER HILLS BLVD",
            "address_2": "SUITE 6",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232253153",
            "telephone_number": "804-505-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WESTOVER HILLS BLVD",
            "address_2": "SUITE 6",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232253153",
            "telephone_number": "804-505-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY SMILES OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "GRANTHAM",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-787-3434",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 29, 2016; 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.