Audrea Carole Pratt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005021 Issued in VA

Practice address

4664 Lee Highway
Dublin, VA 24084

Phone

(540) 674-8891

Fax

(540) 674-9210

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harvey Dentistry NRV, PC

  • Dental Clinic/Center
  • Dublin, VA
  • NPI 1124299110
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912939737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240840947",
            "telephone_number": "540-674-8891",
            "fax_number": "540-674-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4664 LEE HIGHWAY",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "24084",
            "telephone_number": "540-674-8891",
            "fax_number": "540-674-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "AUDREA",
        "middle_name": "CAROLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Pennington, DMD
• Carrie Pettus, PHARMD
• Skyler Petty, OT
• Amy T Phillips
• Sean Phillips
• Premise Health of Virginia Medical PC
• Lindsay Pugh, OT
• Pulaski Adult Day Service & Fall Prevention Center, Inc.
• Pulaski County Board of Supervisors
• Pulaski Internal Medicine, PC

• General Practice Dentistry in Dublin, VA
• Providers in Dublin, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.