Organization Active NPI

PKS Dentistry PLLC

  • Dental Clinic/Center
  • Charlottesville, VA
National Provider Identifier
1992260681
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PKS DENTISTRY PLLC
Practice address
1522 Insurance LN Ste B
Charlottesville, VA 22911-7229
Phone
(434) 973-7744
Fax
(434) 975-0250
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Dr. Pamela Kathleen Stover-Mejias
Title
Owner
Phone
(434) 973-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1522 Insurance LN Ste B
Charlottesville, VA 22911-7229

Mailing address

1522 Insurance LN Ste B
Charlottesville, VA 22911-7229
Phone (434) 973-7744

National Provider Directory

National Provider Directory

Locations

1522 Insurance Ln
#B
Charlottesville, VA 22911
Phone (434) 973-7744

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1992260681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 INSURANCE LN STE B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117229",
            "telephone_number": "434-973-7744",
            "fax_number": "434-975-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 INSURANCE LN STE B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117229",
            "telephone_number": "434-973-7744",
            "fax_number": "434-975-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PKS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "STOVER-MEJIAS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-973-7744",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.