Active NPI
Christopher Lucio Maestrello, D.D.S.
- Pediatric Dentistry
- Richmond, VA
National Provider Identifier
1922019736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401007090
- Practice address
- 2560 Gaskins Rd
Richmond, VA 23238-1468 - Phone
- (804) 741-2226
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401007090 | VA | Primary |
Addresses
Primary practice location
2560 Gaskins Rd
Richmond, VA 23238-1468
Mailing address
2560 Gaskins Rd
Richmond, VA 23238-1468
Phone (804) 741-2226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803311 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401007090 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1922019736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 GASKINS RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232381468",
"telephone_number": "804-741-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 GASKINS RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232381468",
"telephone_number": "804-741-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAESTRELLO",
"first_name": "CHRISTOPHER",
"middle_name": "LUCIO",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401007090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803311",
"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 Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.