NPIMap

Organization Active NPI

New Kent Dental Care

  • Dentist
  • Quinton, VA
National Provider Identifier
1922540046
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008640 Issued in VA
Legal business name
NEW KENT DENTAL CARE
Practice address
2690 Dispatch Rd
Quinton, VA 23141-1726
Phone
(804) 405-6995
NPI assigned
Nov 7, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Dr. Carl William McCrady, PHD, DDSNPI 1205089208
Title
Owner
Phone
(804) 405-6995

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401008640 VA Primary

Addresses

Primary practice location

2690 Dispatch Rd
Quinton, VA 23141-1726

Mailing address

2690 Dispatch Rd
Quinton, VA 23141-1726
Phone (804) 405-6995

Other names 1

  • New Kent Dental Care Former legal business name

National Provider Directory

National Provider Directory

Locations

2690 Dispatch Rd
Quinton, VA 23141
Phone (804) 405-6995

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": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1922540046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 DISPATCH RD",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411726",
            "telephone_number": "804-405-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 DISPATCH RD",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411726",
            "telephone_number": "804-405-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW KENT DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "MCCRADY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-405-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Kent Dental Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Quinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.