STAUNTON CITY DENTAL CLINIC (NPI# 1083719421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083719421 |
| Entity Type | Organization |
| Organization Name | STAUNTON CITY DENTAL CLINIC |
| Practice Address |
1414 N Augusta St Staunton VA 22402 |
| Mailing Address |
1414 N Augusta St Staunton VA 24401-2401 |
| Practice Telephone | 5403327830 |
| Practice Fax Number | 5408850149 |
| Mailing Telephone | 5403327830 |
| Mailing Fax Number | 5408850149 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CAMERON M HEYDARI (DENTIST) |
| Authorized Official Telephone | 5403327830 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 0401410833 | VA | Agencies |
| Street Address |
1414 N AUGUSTA ST |
| City | STAUNTON |
| State | VA |
| Zip Code | 22402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710931365 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1414 N Augusta St, Staunton, VA 24401-2401 | 2006-05-19 |
| 1760786396 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1414 N Augusta St, Staunton, VA 24401-2401 | 2010-12-22 |
| 1851499552 | Susan Klassen | Nurse Practitioner | 1414 N Augusta St, Staunton, VA 24401-2401 | 2006-09-20 |
| 1386654119 | George Douglas Larsen | Public Health or Welfare | 1414 N Augusta St, Staunton, VA 24401-2401 | 2006-08-08 |
| 1780624429 | Ann Scott Rickard | Nurse Practitioner | 1414 N Augusta St, Pob 2126, Staunton, VA 24401-2126 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003319 | Carlo Mirabelli | Pharmacist | Wal-mart, 1028c Richmond Ave., Staunton, VA 24401 | 2020-11-03 |
| 1235753070 | Cathy Oliveros | Speech-Language Pathologist | 684 Mt Tabor Rd, Staunton, VA 24401-5903 | 2020-06-07 |
| 1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1578185807 | Artis Transitions Inc | Day Training, Developmentally Disabled Services | 217 W Beverley St, Staunton, VA 24401-4206 | 2020-05-08 |
| 1861013617 | Christopher R Mceachin | Chiropractor | 100 Mactanly Pl Ste E, Staunton, VA 24401-2383 | 2020-05-04 |
| 1336772714 | Rebecca Denee Wright | Counselor | 1432 Dennison Ave, Staunton, VA 24401-1729 | 2020-02-13 |
| 1063044220 | Regina Anjanette Ford | Private Vehicle | 1230 Ashby St, Staunton, VA 24401-4007 | 2020-02-06 |
| 1750912481 | Wright Psychological Services, Plc | Counselor | 1600 N Coalter St Ste 5, Staunton, VA 24401-2500 | 2020-01-31 |
| 1770114068 | Heather Smith | Registered Nurse | 1398 New Hope Rd, Staunton, VA 24401-9262 | 2020-01-27 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| Find all providers in STAUNTON | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710931365 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1414 N Augusta St, Staunton, VA 24401-2401 | 2006-05-19 |
| 1760786396 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1414 N Augusta St, Staunton, VA 24401-2401 | 2010-12-22 |
| 1386654119 | George Douglas Larsen | Public Health or Welfare | 1414 N Augusta St, Staunton, VA 24401-2401 | 2006-08-08 |
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| 1720523996 | Arthur Chiu | Public Health or Welfare | 7619 Huntmaster Ln, Mc Lean, VA 22102-2531 | 2016-12-27 |
| 1528409257 | Rx4relief, LLC | Public Health or Welfare | 82 Watermans Ct, Gasburg, VA 23857-2204 | 2013-07-10 |
| 1003163338 | Gma Construction LLC | Public Health or Welfare | 166 Holden Dr, Manassas Park, VA 20111-1832 | 2012-08-06 |
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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.