Active NPI
William R Armentrout, DO
- Public Health Dentistry
- Richmond, VA
National Provider Identifier
1932274560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 0401003807
- Practice address
- 517 W Grace St
Richmond, VA 23220-4911 - Phone
- (804) 783-2505
- Fax
- (804) 783-2514
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 0401003807 | VA | Primary |
Addresses
Primary practice location
517 W Grace St
Richmond, VA 23220-4911
Mailing address
517 W Grace St
Richmond, VA 23220-4911
Phone (804) 783-2505
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1932274560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 W GRACE ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232204911",
"telephone_number": "804-783-2505",
"fax_number": "804-783-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 W GRACE ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232204911",
"telephone_number": "804-783-2505",
"fax_number": "804-783-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMENTROUT",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "VA",
"license": "0401003807",
"primary": true
}
],
"identifiers": [],
"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 Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.