NPIMap

Organization Active NPI

Waynesboro City Dental Clinic

  • Public Health or Welfare Agency
  • Waynesboro, VA
National Provider Identifier
1922101393
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
0401410833 Issued in VA
Legal business name
WAYNESBORO CITY DENTAL CLINIC
Practice address
211 12TH St
Waynesboro, VA 22980-4772
Phone
(540) 949-0137
Fax
(540) 943-1614
NPI assigned
Sep 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Cameron M Heydari, DDS
Title
Dentist
Phone
(540) 949-0137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 0401410833 VA Primary

Addresses

Primary practice location

211 12TH St
Waynesboro, VA 22980-4772

Mailing address

211 12TH St
Waynesboro, VA 22980-4772
Phone (540) 949-0137

National Provider Directory

National Provider Directory
Tax ID family
Dickenson Co Health Dep163 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

211 W 12th St
Waynesboro, VA 22980
Phone (540) 425-0750

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922101393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 12TH ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804772",
            "telephone_number": "540-949-0137",
            "fax_number": "540-943-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 12TH ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804772",
            "telephone_number": "540-949-0137",
            "fax_number": "540-943-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBORO CITY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEYDARI",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "540-949-0137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "VA",
            "license": "0401410833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, 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.