Valley Dental Group Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALLEY DENTAL GROUP INC

Practice address

1852 Merriman Road
Valley Dental Group Inc
Akron, OH 44313

Phone

(330) 867-8354

Fax

(330) 867-6960

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raymond David Kimberly, DDSNPI 1578746970

Title

President VDG Inc

Phone

(330) 867-8354

Specialties & licenses 1

Addresses

Other names 1

• Professional Business Name Other name

Tax ID family

Professional Business Name2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Valley Dental Group Inc.

  • Dentist
  • Akron, OH
  • NPI 1164804456
  NPD tax ID

Locations

Practitioners 3

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

• Raymond David Kimberly, DDS

  • Dentist
  • Akron, OH
  • NPI 1578746970
  NPD (past) Authorized official
• Michael Andrew Kimberly, D.D.S.

  • General Practice Dentistry
  • Akron, OH
  • NPI 1700060027
  NPD (past)
• William Tyler Rogus, D.D.S.

  • General Practice Dentistry
  • Akron, OH
  • NPI 1366626608
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962508770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 MERRIMAN ROAD",
            "address_2": "VALLEY DENTAL GROUP INC",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44313",
            "telephone_number": "330-867-8354",
            "fax_number": "330-867-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 MERRIMAN ROAD",
            "address_2": "VALLEY DENTAL GROUP INC",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44313",
            "telephone_number": "330-867-8354",
            "fax_number": "330-867-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBERLY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT VDG INC",
        "authorized_official_telephone_number": "330-867-8354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Business Name",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shane Valentine, CDCA
• Briana Valentino Feeney, FNP-C
• Anne Marie Valeri White, D.O.
• Abigail Vallandingham, D.O.
• Elizabeth J Valle, CNP
• Valley Dental Group Inc.
• Chaitanya Valluri, M.D.
• Tiffiny Diane Valrie
• Alisia Van Arnam, APRN, CNP
• Abigail Van Auken, RBT

• General Practice Dentistry in Akron, OH
• Providers in Akron, OH by specialty
• General Practice Dentistry in Ohio

• 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.