IDEAL DENTAL CARE , INC (NPI# 1780045849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780045849 |
| Entity Type | Organization |
| Organization Name | IDEAL DENTAL CARE , INC |
| Practice Address |
8111 Midlothian Tpke North Chesterfield VA 23235-5115 |
| Practice Telephone | 8049189667 |
| Practice Fax Number | 8049189652 |
| Mailing Telephone | 8049189667 |
| Mailing Fax Number | 8049189652 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | OMAR ABUHAJLEH (DENTIST) |
| Authorized Official Telephone | 7812542626 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 0401412655 | VA | Managed Care Organizations |
| Street Address |
8111 MIDLOTHIAN TPKE |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23235-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788334 | Mariyam Shah | Dentist | 8111 Midlothian Tpke, North Chesterfield, VA 23235-5115 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003381310 | Audrey R. Townes | Preferred Provider Organization | 837 Azalea Ave, Richmond, VA 23227-3512 | 2018-10-12 |
| 1043717457 | Chesapeake Family and Implant Dentistry LLC | Preferred Provider Organization | Chesapeake Family and Implant Dentistry, 516 Innovation Dr. Suite 302, Chesapeake, VA 23320 | 2018-04-11 |
| 1376078105 | Bella Family Home Health Care Inc | Preferred Provider Organization | 5827 Columbia Pike Ste 316, Falls Church, VA 22041-2036 | 2017-04-30 |
| 1245763366 | Living Made Easy | Preferred Provider Organization | 328 Peninsular St, Lynchburg, VA 24501-1420 | 2017-04-05 |
| 1225575830 | Gentle Touch Home Health Care | Preferred Provider Organization | 3421 Vimy Ridge Ave, Norfolk, VA 23509-2041 | 2017-01-22 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1962853036 | James D. Cahn, Dds, P.C. | Preferred Provider Organization | 5225 Hickory Park Dr, Suite D, Glen Allen, VA 23059-2620 | 2016-06-29 |
| 1063871309 | Childlike Faith Services, LLC | Preferred Provider Organization | 12417 Branner Way, 103, Chester, VA 23836-2807 | 2016-02-15 |
| 1366815532 | Graceful Hands | Preferred Provider Organization | 18874 Christanna Hwy, Lawrenceville, VA 23868-2603 | 2015-11-10 |
| 1104298389 | Life Transitions Inc. | Preferred Provider Organization | 956 Lake Village Dr Apt C, Chesapeake, VA 23323-4725 | 2015-10-27 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23235 |
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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.