NPIMap

Organization Active NPI

Virginia Commonwealth University

  • Dental Clinic/Center
  • Richmond, VA
National Provider Identifier
1932327277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401005311 Issued in VA
Legal business name
VIRGINIA COMMONWEALTH UNIVERSITY
Practice address
520 N 12TH St
Lyons Building, Room 456
Richmond, VA 23298-0566
Phone
(804) 828-7978
NPI assigned
Apr 23, 2007
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. Betsy Ann Hagan, DDS, MBA
Title
Senior Associate Dean
Phone
(804) 828-7978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401005311 VA Primary

Addresses

Primary practice location

520 N 12TH St
Lyons Building, Room 456
Richmond, VA 23298-0566

Mailing address

520 N 12TH St
Lyons Building, Room 456, P.O. Box 980566
Richmond, VA 23298-0566
Phone (804) 828-7978

National Provider Directory

National Provider Directory
Tax ID family
Virginia Commonwealth University9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

520 N 12th St
Rm 456
Richmond, VA 23298
Phone (804) 828-7978

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932327277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST",
            "address_2": "LYONS BUILDING, ROOM 456, P.O. BOX 980566",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980566",
            "telephone_number": "804-828-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST",
            "address_2": "LYONS BUILDING, ROOM 456",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980566",
            "telephone_number": "804-828-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA COMMONWEALTH UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SENIOR ASSOCIATE DEAN",
        "authorized_official_telephone_number": "804-828-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401005311",
            "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 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.