Active NPI
Peter Freeman Hanley, DMD
- General Practice Dentistry
- Chester, VA
National Provider Identifier
1972030534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401415607
- Practice address
- 13295 Rivers Bend Blvd
Chester, VA 23836-8610 - Phone
- (804) 530-3539
- Fax
- (804) 530-5617
- NPI assigned
- May 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401415607 | VA | Primary |
Addresses
Primary practice location
13295 Rivers Bend Blvd
Chester, VA 23836-8610
Mailing address
13295 Rivers Bend Blvd
Chester, VA 23836-8610
Phone (804) 530-3539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415607 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972030534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13295 RIVERS BEND BLVD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238368610",
"telephone_number": "804-530-3539",
"fax_number": "804-530-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13295 RIVERS BEND BLVD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238368610",
"telephone_number": "804-530-3539",
"fax_number": "804-530-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLEY",
"first_name": "PETER",
"middle_name": "FREEMAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401415607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.