NPIMap

Organization Active NPI

Central Virginia Dental Care PLC

Doing business as Sparkle Pediatric Dentistry

  • Pediatric Dentistry
  • Mechanicsville, VA
National Provider Identifier
1912459215
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CENTRAL VIRGINIA DENTAL CARE PLC
Doing business as
Sparkle Pediatric Dentistry
Practice address
8203 Center Path Lane
Suite a
Mechanicsville, VA 23116-4060
Phone
(804) 746-7382
Fax
(804) 368-1448
NPI assigned
Nov 3, 2016
Last updated
Oct 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Mrs. Holly Christel Lewis, DMD, MSNPI 1073548947
Title
Owner/Pediatric Dental Specialist
Phone
(804) 746-7382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

8203 Center Path Lane
Suite a
Mechanicsville, VA 23116-4060

Mailing address

8203 Center Path Lane
Suite a
Mechanicsville, VA 23116-4060
Phone (804) 746-7382

Other names 1

  • Sparkle Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Virginia Dental Care PLC2 organizations share this tax ID, including this one
Part of
Pediatric Dentistry Orthodontics of VA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1912459215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 CENTER PATH LANE",
            "address_2": "SUITE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164060",
            "telephone_number": "804-746-7382",
            "fax_number": "804-368-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 CENTER PATH LANE",
            "address_2": "SUITE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164060",
            "telephone_number": "804-746-7382",
            "fax_number": "804-368-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "enumeration_date": "2016-11-03",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "CHRISTEL",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTAL SPECIALIST",
        "authorized_official_telephone_number": "804-746-7382",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparkle Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.