Organization Active NPI

McComb & Stewart Dentistry, P.C.

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1902967649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410621 Issued in VA
Legal business name
MCCOMB & STEWART DENTISTRY, P.C.
Practice address
530 E Main St
Suite 720
Richmond, VA 23219-2431
Phone
(804) 643-6665
Fax
(804) 782-1146
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy D Stewart, D.M.D.
Title
Dentist
Phone
(804) 643-6665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401410621 VA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401005152 VA

Addresses

Primary practice location

530 E Main St
Suite 720
Richmond, VA 23219-2431

Mailing address

530 E Main St
Suite 720
Richmond, VA 23219-2418
Phone (804) 643-6665

Other identifiers 2

IdentifierTypeStateIssuer
574631OtherVAUNITED CONCORDIA
003204OtherVAANTHEM

National Provider Directory

National Provider Directory

Locations

530 E Main St
Ste 720
Richmond, VA 23219
Phone (804) 643-6665

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902967649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E MAIN ST",
            "address_2": "SUITE 720",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192418",
            "telephone_number": "804-643-6665",
            "fax_number": "804-782-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E MAIN ST",
            "address_2": "SUITE 720",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192431",
            "telephone_number": "804-643-6665",
            "fax_number": "804-782-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMB & STEWART DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-643-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410621",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "574631",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "003204",
            "state": "VA"
        }
    ],
    "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 Aug 22, 2020; 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.