Active NPI
PKS Dentistry PLLC
- Dental Clinic/Center
- Charlottesville, VA
National Provider Identifier
1992260681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Charlottesville, VA
- NPI 1053416685
-
- Specialist
- Charlottesville, VA
- NPI 1053411256
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.