Active NPI
Niamtu & Alexander Oral & Maxillofacial Surgery PC
Doing business as Virginia Oral & Facial Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Henrico, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Legal business name
- NIAMTU & ALEXANDER ORAL & MAXILLOFACIAL SURGERY PC
- Doing business as
- Virginia Oral & Facial Surgery
- Practice address
- 130 Towne Center West Boulevard
Henrico, VA 23233-2323 - Phone
- (804) 270-5028
- Fax
- (804) 747-3599
- NPI assigned
- May 23, 2006
- Last updated
- Jan 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tina Marie Pitkin Rose
- Title
- Project Coordinator
- Phone
- (804) 532-0002
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | Primary |
Addresses
Primary practice location
130 Towne Center West Boulevard
Henrico, VA 23233-2323
Mailing address
11545 A Nuckols Road
Glen Allen, VA 23059-5666
Phone (804) 673-8061
Other practice location 1
7481 Right Flank Rd Ste 120
Mechanicsville, VA 23116-3838
Phone (804) 559-5416
Other practice location 2
5510 Whiteside Rd
Sandston, VA 23150-2345
Phone (804) 737-0992
Other practice location 3
6031 Harbour Park Dr
Midlothian, VA 23112-2160
Phone (804) 608-3200
Other practice location 4
5224 Monument Ave
Richmond, VA 23226-1405
Phone (804) 359-4474
Other practice location 5
11319 Polo Pl
Midlothian, VA 23113
Phone (804) 794-0794
Other practice location 6
10601 Greenyard Way Ste B
Chester, VA 23831-1485
Phone (804) 472-8099
Other names 3
- Virginia Oral & Facial Surgery
- Drs. Niamtu, Alexander, Keeney, Harris, Metzger & Dyman, P.C.
- Drs. Niamtu, Alexander, Keeney, Harris, Metzger & Dymon, P.C.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2089309 | DRS Niamtu,Alexander,Keeney,Harris,Metzger,Dymon | Certificate of waiver | Dec 25, 2026 |
National Provider Directory
National Provider DirectoryLocations
10601 Greenyard Way
#B
Chester, VA 23831
Phone (804) 472-8099
11545 Nuckols Rd
Ste A
Glen Allen, VA 23059
Phone (804) 673-8061
130 Towne Center West Blvd
Henrico, VA 23233
Phone (804) 270-5028
7481 Right Flank Rd
Ste 120
Mechanicsville, VA 23116
Phone (804) 559-5416
11319 Polo Pl
Midlothian, VA 23113
Phone (804) 794-0794
6031 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 608-3200
7229 Forest Ave
Ste 103
Richmond, VA 23226
Phone (804) 673-8061
7702 E Parham Rd
Ste 103
Richmond, VA 23294
Phone (804) 270-5028
5510 Whiteside Rd
Sandston, VA 23150
Phone (804) 737-0992
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Richmond, VA
- NPI 1336100155
-
- Oral and Maxillofacial Surgery (Dentist)
- Midlothian, VA
- NPI 1427019405
-
- Plastic Surgery Physician
- Leesburg, VA
- NPI 1164591970
Oral & Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
- NPI 1396708525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1952356487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11545 A NUCKOLS ROAD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595666",
"telephone_number": "804-673-8061",
"fax_number": "804-673-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 TOWNE CENTER WEST BOULEVARD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232332323",
"telephone_number": "804-270-5028",
"fax_number": "804-747-3599"
}
],
"practiceLocations": [
{
"address_1": "7481 Right Flank Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Mechanicsville",
"state": "VA",
"postal_code": "231163838",
"country_code": "US",
"telephone_number": "804-559-5416",
"fax_number": "804-559-5455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5510 Whiteside Rd",
"address_purpose": "LOCATION",
"city": "Sandston",
"state": "VA",
"postal_code": "231502345",
"country_code": "US",
"telephone_number": "804-737-0992",
"fax_number": "804-737-6275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6031 Harbour Park Dr",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231122160",
"country_code": "US",
"telephone_number": "804-608-3200",
"fax_number": "804-608-3201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5224 Monument Ave",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232261405",
"country_code": "US",
"telephone_number": "804-359-4474",
"fax_number": "804-359-4465",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11319 Polo Pl",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "23113",
"country_code": "US",
"telephone_number": "804-794-0794",
"fax_number": "804-379-2858",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10601 Greenyard Way Ste B",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "VA",
"postal_code": "238311485",
"country_code": "US",
"telephone_number": "804-472-8099",
"fax_number": "804-270-4873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NIAMTU & ALEXANDER ORAL & MAXILLOFACIAL SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "MARIE PITKIN",
"authorized_official_title_or_position": "PROJECT COORDINATOR",
"authorized_official_telephone_number": "804-532-0002",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Virginia Oral & Facial Surgery",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Drs. Niamtu, Alexander, Keeney, Harris, Metzger & Dyman, P.C.",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Drs. Niamtu, Alexander, Keeney, Harris, Metzger & Dymon, P.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.