KFD VIRGINIA INC (NPI# 1659844538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659844538 |
| Entity Type | Organization |
| Organization Name | KFD VIRGINIA INC |
| Practice Address |
4903 Starkey Rd Ste 300 Roanoke VA 24018-8525 |
| Practice Telephone | 5409042700 |
| Practice Fax Number | 5409042760 |
| Mailing Telephone | 5409042700 |
| Mailing Fax Number | 5409042760 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | ROBERT HABER ELLIS III (OWNER) |
| Authorized Official Telephone | 8034135100 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX3691 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Dental Care of Virginia | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1152 E Church St, Martinsville, VA 241123225 | 2764035500 | 2764035545 |
| Street Address |
4903 STARKEY RD STE 300 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154425874 | Starkey Medical PC | Specialist | 4903 Starkey Rd Ste 300, Roanoke, VA 24018-8525 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124514203 | R. Douglas Ross, Dds PC | Clinic/Center | 1602 Grandin Rd Sw, Roanoke, VA 24015-2308 | 2018-07-02 |
| 1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
| 1780932277 | Harvey Dentistry Nrke | Clinic/Center | 5049 Valley View Blvd Nw Ste C, Roanoke, VA 24012-2075 | 2012-08-15 |
| 1235383019 | General Family Dentistry | Clinic/Center | 108 W Point St, Roanoke, AL 36274-1686 | 2008-11-06 |
| 1013575661 | Irby Dentistry | Clinic/Center | 3501 Franklin Rd Sw, Roanoke, VA 24014-2201 | 2019-05-30 |
| 1114399276 | Carilion Medical Center | Clinic/Center | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2015-10-28 |
| 1700287596 | Kuumba Health and Wellness Center | Clinic/Center | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2014-09-11 |
| 1144641309 | Commonwealth Dental Clinic | Clinic/Center | 1121 S Jefferson St, Roanoke, VA 24016-4703 | 2013-12-13 |
| 1578851002 | Young C. Park, Dds., PC | Clinic/Center | 623 Abney Rd, Roanoke, VA 24012-1257 | 2011-07-19 |
| 1205840956 | Carilion Medical Center | Clinic/Center | 2017 Jefferson St Sw, 2nd Floor, Roanoke, VA 24014-2419 | 2006-07-28 |
| Find all providers in ROANOKE | ||||
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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.