NPIMap

Organization Active NPI

Blue Ridge Health Center Inc

Doing business as Blue Ridge Dental Center

  • Federally Qualified Health Center (FQHC)
  • Arrington, VA
National Provider Identifier
1962753145
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BLUE RIDGE HEALTH CENTER INC
Doing business as
Blue Ridge Dental Center
Practice address
4038 Thomas Nelson Hwy
Arrington, VA 22922-2302
Phone
(434) 263-6310
Fax
(434) 263-4160
NPI assigned
Sep 27, 2012
Last updated
Sep 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Peggy Whitehead
Title
Executive Director
Phone
(434) 263-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

4038 Thomas Nelson Hwy
Arrington, VA 22922-2302

Mailing address

PO Box 3210
Glen Allen, VA 23058-3210
Phone (434) 263-4000

Other names 1

  • Blue Ridge Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Med Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1962753145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3210",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230583210",
            "telephone_number": "434-263-4000",
            "fax_number": "434-263-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 THOMAS NELSON HWY",
            "city": "ARRINGTON",
            "state": "VA",
            "postal_code": "229222302",
            "telephone_number": "434-263-6310",
            "fax_number": "434-263-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-263-4000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arrington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.