Organization Active NPI

Niamtu & Alexander Oral & Maxillofacial Surgery PC

Doing business as Virginia Oral & Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Henrico, VA
National Provider Identifier
1952356487
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • Drs. Niamtu, Alexander, Keeney, Harris, Metzger & Dyman, P.C. Other name
  • Drs. Niamtu, Alexander, Keeney, Harris, Metzger & Dymon, P.C. Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2089309DRS Niamtu,Alexander,Keeney,Harris,Metzger,Dymon130 Towne Center West, Richmond, VA 23233Certificate of waiverDec 25, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.