NPIMap

Organization Active NPI

Michael D. Webb, DDS, PC

Doing business as The Center for Pediatric Dentistry and Sedation

  • Pediatric Dentistry
  • North Chesterfield, VA
National Provider Identifier
1972851921
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401412000 Issued in VA
Legal business name
MICHAEL D. WEBB, DDS, PC
Doing business as
The Center for Pediatric Dentistry and Sedation
Practice address
10409 Midlothian Tpke
North Chesterfield, VA 23235-4407
Phone
(804) 562-2667
Fax
(804) 562-2698
NPI assigned
Aug 23, 2012
Last updated
Aug 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Amy Custo
Title
Practice Manager
Phone
(804) 562-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401412000 VA Primary

Addresses

Primary practice location

10409 Midlothian Tpke
North Chesterfield, VA 23235-4407

Mailing address

10409 Midlothian Tpke
North Chesterfield, VA 23235-4407
Phone (804) 562-2667

Other identifiers 2

IdentifierTypeStateIssuer
010067669MedicaidVA
9177050MedicaidVA

Other names 1

  • The Center for Pediatric Dentistry and Sedation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael D Webb DDS PC2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1972851921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354407",
            "telephone_number": "804-562-2667",
            "fax_number": "804-562-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354407",
            "telephone_number": "804-562-2667",
            "fax_number": "804-562-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. WEBB, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "CUSTO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "804-562-2667"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401412000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010067669",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177050",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Pediatric Dentistry and Sedation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.