Organization Active NPI

Clinton J. Norris, D.D.S., P.C.

  • Dentist
  • Glen Allen, VA
National Provider Identifier
1962522839
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007441 Issued in VA
Legal business name
CLINTON J. NORRIS, D.D.S., P.C.
Practice address
4445 Cox Rd
Glen Allen, VA 23060-3326
Phone
(804) 747-0044
Fax
(804) 968-4871
NPI assigned
Apr 1, 2007
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Dr. Clinton Joseph Norris III, D.D.S.NPI 1144649864
Title
Manager
Phone
(804) 747-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401007441 VA Primary

Addresses

Primary practice location

4445 Cox Rd
Glen Allen, VA 23060-3326

Mailing address

4445 Cox Rd
Glen Allen, VA 23060-3326
Phone (804) 747-0044

National Provider Directory

National Provider Directory
Part of
Russell Mosher DDS PC

Locations

4445 Cox Rd
Glen Allen, VA 23060
Phone (804) 599-8700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1962522839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603326",
            "telephone_number": "804-747-0044",
            "fax_number": "804-968-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603326",
            "telephone_number": "804-747-0044",
            "fax_number": "804-968-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON J. NORRIS, D.D.S., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE, PLC",
        "enumeration_date": "2007-04-01",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-747-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.