John S. Kittrell, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN S. KITTRELL, DDS, PLLC

Practice address

8804 Patterson Ave
Henrico, VA 23229-6361

Phone

(804) 740-7212

NPI assigned

Nov 3, 2016

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

Tax ID family

John Kittrell DDS2 organizations share this tax ID, including this one

Part of

Russell Mosher DDS PC

Other organizations with this tax ID 1

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

• John Kittrell DDS

  • General Practice Dentistry
  • Richmond, VA
  • NPI 1093257693
  NPD tax ID

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": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1982156204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8804 PATTERSON AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296361",
            "telephone_number": "804-740-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8804 PATTERSON AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296361",
            "telephone_number": "804-740-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. KITTRELL, DDS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "enumeration_date": "2016-11-03",
        "last_updated": "2017-04-17",
        "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": []
}

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• General Practice Dentistry in Henrico, VA
• Providers in Henrico, 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 Apr 17, 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.