Commonwealth Pediatric Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COMMONWEALTH PEDIATRIC DENTISTRY, PLLC

Practice address

6661 Lake Harbour Dr
Midlothian, VA 23112-2082

Phone

(804) 363-4283

NPI assigned

Jan 18, 2017

Organization subpart

Yes

Parent organization

CENTRAL VIRGINIA DENTAL CARE PLCAs reported in NPPES

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

Authorized official

Name

Lauri Henderson

Title

Administrative Assistant

Phone

(804) 363-4283

Specialties & licenses 1

Addresses

Part of

Russell Mosher DDS PC

Locations

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.

• Central Virginia Dental Care PLC

  • General Practice Dentistry
  • South Chesterfield, VA
  • NPI 1063960649
  NPPES parent name

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1982140620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6661 LAKE HARBOUR DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6661 LAKE HARBOUR DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122082",
            "telephone_number": "804-363-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "804-363-4283"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Behavioral Health, Inc.
• Commonwealth Clinic
• Commonwealth Ear, Nose & Throat Specialists PC
• Commonwealth Hearing Centersllc
• Commonwealth Infectious Diseases, LLC
• Commonwealth Primary Care
• Compass Chiropractic LLC
• Compass MD
• Complete Care for Kids
• Complete Care for Kids

• General Practice Dentistry in Midlothian, VA
• Providers in Midlothian, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.