NPIMap

Organization Active NPI

Fredericksburg Dental Care

  • General Practice Dentistry
  • Fredericksburg, VA
National Provider Identifier
1932374683
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FREDERICKSBURG DENTAL CARE
Practice address
10620 Courthouse Rd
Fredericksburg, VA 22407-1602
Phone
(540) 898-8616
Fax
(540) 898-7755
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mrs. Dana Mundy
Title
Practice Administrator
Phone
(540) 898-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10620 Courthouse Rd
Fredericksburg, VA 22407-1602

Mailing address

10620 Courthouse Rd
Fredericksburg, VA 22407-1602
Phone (540) 898-8616

National Provider Directory

National Provider Directory

Locations

10620 Courthouse Rd
Fredericksburg, VA 22407
Phone (540) 898-8616

Practitioners & affiliated clinicians

Practitioners 5

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1932374683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 COURTHOUSE RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071602",
            "telephone_number": "540-898-8616",
            "fax_number": "540-898-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 COURTHOUSE RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071602",
            "telephone_number": "540-898-8616",
            "fax_number": "540-898-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "540-898-8616",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.