NPIMap

Organization Active NPI

Dentists on Grove Avenue PC

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1962108142
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTS ON GROVE AVENUE PC
Practice address
3603 Grove Ave
Richmond, VA 23221-2201
Phone
(804) 912-1812
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Katherine Estrada
Title
Manager
Phone
(703) 606-1305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3603 Grove Ave
Richmond, VA 23221-2201

Mailing address

3603 Grove Ave
Richmond, VA 23221-2201

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1962108142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212201",
            "telephone_number": "804-912-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS ON GROVE AVENUE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-606-1305"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jan 31, 2023; 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.