COMMONWEALTH DENTAL ANESTHESIA ASSOCIATES PC (NPI# 1437534708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437534708 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH DENTAL ANESTHESIA ASSOCIATES PC |
| Practice Address |
1101 Haxall Pt Unit 1004 Richmond VA 23219-3941 |
| Practice Telephone | 4342425446 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | DR. HEATHER BALLENTINE (DENTIST ANESTHESIOLOGIST) |
| Authorized Official Telephone | 6467893860 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
VA | Dental Providers |
| Street Address |
1101 HAXALL PT UNIT 1004 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23219-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578870150 | Hendrikus J Vandessel | Specialist | 1101 Haxall Pt, # 702, Richmond, VA 23219-3941 | 2010-09-03 |
| 1720372246 | Maimoona Naeem Khan | Emergency Medicine | 1101 Haxall Pt, Unit 501, Richmond, VA 23219-3941 | 2011-06-01 |
| 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 | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295586 | Jim Ervil | Dentist | 3824 Mechanicsville Tpke, Richmond, VA 23223-1114 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255101 | John T. Will, Dds, Pllc | Dentist | 4545 Riverside Dr Ste C, Danville, VA 24541-5173 | 2020-01-29 |
| 1063971281 | Premier Dental Group Pllc | Dentist | 9420 Forestwood Ln Ste 201, Manassas, VA 20110-4758 | 2019-03-18 |
| 1831629419 | Hampton Roads Anesthesia & Dentistry, Pllc | Dentist | 1206 Laskin Rd Ste 140, Virginia Beach, VA 23451-5267 | 2017-06-15 |
| 1215382262 | Avanti Specialty Pllc | Dentist | 1500 Cornerside Blvd Ste 500, Tysons Corner, VA 22182-2440 | 2016-04-27 |
| 1700142148 | Mitesh B Gandhi | Dentist | 364 Lowes Dr Ste J, Danville, VA 24540-5930 | 2012-04-10 |
| 1881134005 | Babak Razmazma Dds Inc | Dentist | 11654 Plaza America Dr, 163, Reston, VA 20190-4700 | 2017-03-07 |
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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.