DR. DAVID BRENT PEMBERTON (NPI# 1073704219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073704219 |
Entity Type | Individual |
Full Name | DR. DAVID BRENT PEMBERTON |
Credential | D.D.S. |
Practice Address |
101 Cowardin Ave Suite 303 Richmond VA 23224-2078 |
Practice Telephone | 8042336811 |
Practice Fax Number | 8042300980 |
Mailing Telephone | 8042336811 |
Mailing Fax Number | 8042300980 |
Enumeration Date | 2007-08-05 |
Last Update Date | 2013-10-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
0401005552 | VA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | UNITED CONCORDIA | 000762638 | 01 |
PA | UNITED CONCORDIA | 001701144 | 01 |
WI | DORAL DENTAL | 165313 | 01 |
VA | ANTHEM | 077683 | 01 |
VA | ANTHEM | 172260 | 01 |
VA | 7815042 | 05 |
Street Address |
101 COWARDIN AVE SUITE 303 |
City | RICHMOND |
State | VA |
Zip Code | 23224-2078 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962424929 | Ghouse S Hyder | Specialist | 101 Cowardin Ave, Suite 302, Richmond, VA 23224-2078 | 2006-07-25 |
1871818153 | Vernon J Harris East End Community Health Center | Clinic/Center | 101 Cowardin Ave, Suite 102, Richmond, VA 23224-2078 | 2010-03-30 |
1629212212 | Brandi Galloway | Nurse Practitioner | 101 Cowardin Ave, Suite 208, Richmond, VA 23224-2078 | 2009-04-27 |
1487893061 | Leon J. Brown, Jr., M.d., P.C. | Family Medicine | 101 Cowardin Ave, Suite 105, Richmond, VA 23224-2078 | 2009-02-05 |
1366633034 | Tova Lynn Burge-martin | Obstetrics & Gynecology | 101 Cowardin Ave, Suite 208, Richmond, VA 23224-2078 | 2007-08-07 |
1649489782 | Djuna D Jones | Obstetrics & Gynecology | 101 Cowardin Ave, Suite 208, Richmond, VA 23224-2078 | 2007-05-22 |
1215157748 | Ronald Evans Cade | Dentist | 101 Cowardin Ave, 206, Richmond, VA 23224-2078 | 2007-04-26 |
1518187061 | Cade Dental Practice | Dentist | 101 Cowardin Ave, 206, Richmond, VA 23224-2078 | 2007-04-26 |
1679628499 | Dr. Zelda West Johnson & Associates | Clinic/Center | 101 Cowardin Ave, Suite 307, Richmond, VA 23224-2078 | 2007-01-24 |
1760548259 | Chippenham Pediatric Specialists LLC | Pediatrics | 101 Cowardin Ave, Ste. 207, Richmond, VA 23224-2078 | 2006-12-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053919282 | Impulse Transport LLC | Taxi | 2119 Clearfield St, Richmond, VA 23224 | 2020-10-10 |
1528629482 | Takiera El-amin | Counselor | 2505 Warwick Ave, Richmond, VA 23224 | 2019-06-21 |
1750851200 | Mosley Trucking Corporation | Non-emergency Medical Transport (VAN) | 2740 Geneva Drive, Richmond, VA 23224 | 2018-11-27 |
1154897569 | Michelle H Chou | Music Therapist | 1125 Bainbridge St Apt 13, Richmond, VA 23224 | 2018-10-23 |
1801385257 | Emily Pratt Harris | Social Worker | 4730 N. Southside Plaza, Richmond, VA 23224 | 2018-05-01 |
1649782657 | Tamika Shavon Starks | Driver | 4134 Leaked Avenue, Richmond, VA 23224 | 2017-10-31 |
1992221972 | Benjamin Franklin Petway | Driver | 6013 Zurich Drive, Richmond, VA 23224 | 2017-08-21 |
1497280457 | Tracy Williams Parker | Pharmacist | 4730 N Southside Plaza, Richmond, VA 23224 | 2017-04-27 |
1114450624 | Jacqueline Britz | Family Medicine | 4730 E Southside Plaza, Richmond, VA 23224 | 2017-04-11 |
1932656477 | Afia Medical Transportation Ltd | Non-emergency Medical Transport (VAN) | 227 E Belt Blvd, Suit A, Richmond, VA 23224 | 2016-09-01 |
Find all providers in zip 23224 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
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1740801000 | Tamara Lin | Dentist | 5116 Mulligan Ct, Richmond, CA 94806-5898 | 2020-04-28 |
1699394916 | Caitlin Suzanne Shannon | Dentist | 2519 E Main St Ste 102, Richmond, IN 47374-5869 | 2020-04-16 |
1982247953 | Benjamin Crowley, Dds PC | Dentist | 6808 Stoneman Rd, Richmond, VA 23228-2744 | 2019-10-23 |
1326695339 | New Era Healthcare Inc. | Dentist | 6300 Oak Middle Ct Apt 104, Richmond, VA 23231-4872 | 2019-08-23 |
1770145617 | Morgan Worley | Dentist | 4818 Waterview Town Center Dr Ste 100, Richmond, TX 77407-2384 | 2019-07-01 |
1083188908 | Richmond Pediatric Dentistry and Orthodontics | Dentist | 8503 Patterson Ave Ste G, Richmond, VA 23229-6442 | 2019-01-14 |
1699254318 | Blvd Dentistry Richmond Pllc | Dentist | 18320 W. Airport Rd, Suite 200, Richmond, TX 77407 | 2018-08-13 |
1083190011 | Kayla Marie Roe | Dentist | 6605 W Broad St Ste 105, Richmond, VA 23230-1714 | 2018-07-12 |
1376037341 | Adrienne Lashae Childress | Dentist | 4095 Atwood Dr Ste A, Richmond, KY 40475-8325 | 2018-06-21 |
1023509908 | Richmond City Dentistry | Dentist | 1517 W Broad St, Richmond, VA 23220-3016 | 2018-05-25 |
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.