COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH (NPI# 1447588991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447588991 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| Other Organization Name | VIRGINIA DEPARTMENT OF HEALTH DIVISION OF DENTAL HEALTH |
| Practice Address |
109 Governor St Richmond VA 23219-3623 |
| Mailing Address |
109 Governor St Rm 927 Richmond VA 23219-3623 |
| Practice Telephone | 8048647774 |
| Mailing Telephone | 8048647774 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | DR. DAVID SUTTLE (DIRECTOR, OFFICE OF FAMILY HEALTH) |
| Authorized Official Telephone | 8048647650 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
VA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Virginia Department of Health Division of Dental Health | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851430821 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 190 Beech Street, Ste 102, Gate City, VA 25251-3623 | 2007-02-06 |
| 1871660100 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 450 Madison Rd, Orange, VA 22960-1085 | 2006-11-30 |
| 1821188848 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 640 Laurel St, Culpeper, VA 22701-3910 | 2006-10-13 |
| 1649360660 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 491a Main Street, Washington, VA 22747-0005 | 2006-10-13 |
| 1972692143 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 400 E Cary St, Richmond, VA 23219-3816 | 2006-10-12 |
| 1346337979 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 4001 Prince William Pkwy, Suite 101, Woodbridge, VA 22192-7666 | 2006-10-06 |
| 1508951567 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 3810 Nine Mile Rd, Henrico, VA 23223-4848 | 2006-10-04 |
| 1669567632 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 7114 Lankford Highway, Nassawadox, VA 23413 | 2006-10-04 |
| 1548352602 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 365 Pell Ave, Rocky Mount, VA 24151 | 2006-09-28 |
| 1053417766 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 15 Foster Road, Cumberland, VA 23040-2645 | 2006-09-16 |
| Street Address |
109 GOVERNOR ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23219-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326019753 | Marissa Janae Levine | Family Medicine | 109 Governor St, 13th Floor, Richmond, VA 23219-3623 | 2006-02-01 |
| 1083941983 | Karen C Day | Dentist | 109 Governor St, Richmond, VA 23219-3623 | 2009-11-13 |
| 1922142934 | Robert Bruce Stroube | Preventive Medicine | 109 Governor St, 13th Floor, Richmond, VA 23219-3623 | 2007-02-16 |
| 1346391406 | Laura Garawski Forlano | Preventive Medicine | 109 Governor St, Madison Building, 6th Floor, Richmond, VA 23219-3623 | 2007-01-16 |
| 1770651838 | Virginia Department of Health | Public Health or Welfare | 109 Governor St, 9th Floor, Richmond, VA 23219-3623 | 2006-11-30 |
| 1225115827 | Margaret A. Tipple | Public Health or Welfare | 109 Governor St, 3rd Floor, Richmond, VA 23219-3623 | 2006-11-01 |
| 1386652162 | Lilian R Peake | Preventive Medicine | 109 Governor St, Richmond, VA 23219 | 2006-08-04 |
| 1811937923 | David Earl Suttle | Preventive Medicine | 109 Governor St, 7th Floor, Richmond, VA 23219-3623 | 2006-06-07 |
| 1528036936 | Grayson B. Miller Jr. | Internal Medicine | 109 Governor St, Room 644b, Richmond, VA 23219-3623 | 2006-03-10 |
| 1376511907 | James E Burns | Pediatrics | 109 Governor St, Room 1314, Richmond, VA 23219-3623 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306337910 | Patricia Young Flynn | Psychologist | Richmond Public Schools, Dept. of Exceptional Education, 301 N. Ninth Street, Richmond, VA 23219 | 2018-05-21 |
| 1558859173 | Marie Rhodes-dawson | Psychologist | 301 North Ninth Street, Richmond, VA 23219 | 2018-04-30 |
| 1639674369 | Kelly Schmid Mccrowell | Psychologist | 301 N. 9th Street, Psychological Services/exceptional Education, Richmond, VA 23219 | 2018-03-26 |
| 1104321033 | Veronica Leigh Wiles | Occupational Therapist | 301 North 9th Street, Exceptional Education, Richmond, VA 23219 | 2018-03-23 |
| 1780103234 | Brandy Lakesha Rushing | Counselor | 107 S. 5th Street, Richmond, VA 23219 | 2017-09-15 |
| 1134676679 | Richa Chibbar | Student in an Organized Health Care Education/Training Program | 230 N 6th St, Unit 204, Richmond, VA 23219 | 2016-09-01 |
| 1578974788 | Kinlee Stewart | Counselor | 409 E. Main St, #204, Richmond, VA 23219 | 2014-05-12 |
| 1760814941 | Ivey Contacting Service,inc | Day Training, Developmentally Disabled Services | 501 East Frnklin St Stu 724, Richmond, VA 23219 | 2013-07-30 |
| 1154665883 | Ashley Hoover Rhoades | Nurse Practitioner | 701 East Byrd Street, Diamond Health Group, Richmond, VA 23219 | 2012-11-19 |
| 1932461852 | New Legacy Youth Services, LLC | Community/Behavioral Health | 904 North 1st Street, Richmond, VA 23219 | 2012-06-15 |
| Find all providers in zip 23219 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
| 1285264887 | Northside Dental Company, Pllc | Clinic/Center | 3404 Hermitage Rd, Richmond, VA 23227-4307 | 2020-01-22 |
| 1346887635 | Kristin C Edwards Dds Pllc | Clinic/Center | 5318 Patterson Ave Ste A, Richmond, VA 23226-2044 | 2019-12-05 |
| 1730738295 | Chain of Lakes Dental, Pllc | Clinic/Center | 34 Main St E, Richmond, MN 56368-8238 | 2019-09-08 |
| 1366002883 | Mission Bend Family Dentistry | Clinic/Center | 7039 Fm 1464 Rd Ste 130, Richmond, TX 77407-2001 | 2019-06-17 |
| 1457810566 | Onwueme, Pllc | Clinic/Center | 7324 Grand Mission Blvd, Suite #100, Richmond, TX 77407 | 2019-03-18 |
| 1750845228 | Smilesbymehta | Clinic/Center | 2201 Thompson Rd Ste 101, Richmond, TX 77469-5473 | 2019-01-29 |
| 1386118990 | Virginia Beach Dental Spa, Pllc | Clinic/Center | 9305 Quioccasin Rd Ste A, Richmond, VA 23229-5429 | 2019-01-16 |
| 1780161646 | David Michael Voth | Clinic/Center | 521 N 11th St Ste 315, Richmond, VA 23298-5045 | 2018-07-24 |
| 1528569563 | Kac Dental, PC | Clinic/Center | 7834 Forest Hill Ave Ste 1, Richmond, VA 23225-1974 | 2018-02-26 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.