DRS BUSSEY MAYO ARCHER LTD (NPI# 1689754277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689754277 |
| Entity Type | Organization |
| Organization Name | DRS BUSSEY MAYO ARCHER LTD |
| Practice Address |
2995 Churchland Blvd Chesapeake VA 23321 |
| Practice Telephone | 7574832167 |
| Practice Fax Number | 7574839320 |
| Mailing Telephone | 7574832167 |
| Mailing Fax Number | 7574839320 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHANDALE MARIE GREGORY (BILLING FINANCIAL COORDINATOR) |
| Authorized Official Telephone | 7574865155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
0401007693 | VA | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0401004066 | VA | Dental Providers |
| Street Address |
2995 CHURCHLAND BLVD |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295746261 | Robert M. Edmonds | Dentist | 2995 Churchland Blvd, Suite B, Chesapeake, VA 23321-5642 | 2006-08-11 |
| 1407111560 | Mark Allen Goldman | Dentist | 2995 Churchland Blvd, Suite A, Chesapeake, VA 23321-5642 | 2012-07-05 |
| 1437286101 | Dr. Robert M. Edmonds, Ltd. | Dentist | 2995 Churchland Blvd, Suite B, Chesapeake, VA 23321-5642 | 2007-02-28 |
| 1437244407 | Mark A. Goldman, Dds, PC | Clinic/Center | 2995 Churchland Blvd, Suite A, Chesapeake, VA 23321-5642 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447744131 | Fouad Almalki | Dentist | 1533 Volvo Pkwy, Chesapeake, VA 23320-8489 | 2018-06-18 |
| 1235369612 | Pye P Kyu | Dentist | 1200 Battlefield Blvd N Ste 117, Chesapeake, VA 23320-4790 | 2009-07-21 |
| 1275729758 | Richard D Archer | Dentist | 1200 Battlefield Blvd N, Chesapeake, VA 23320-4790 | 2007-09-19 |
| 1730275603 | Drs Bussey Mayo & Archer Ltd | Dentist | 1200 N Battlefield Blvd, Chesapeake, VA 23320 | 2006-10-05 |
| 1851569586 | Louis Craig Peron | Dentist | 501 Independence Pkwy, Suite 101, Chesapeake, VA 23320-5173 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898214 | Sally Abdelkarim | Dentist | 556 Garrisonville Rd Ste 200, Stafford, VA 22554-7826 | 2020-07-10 |
| 1225655939 | Avisha Rakesh Shah | Dentist | 3712 Old Forest Rd Ste 100, Lynchburg, VA 24501-6963 | 2020-06-29 |
| 1821621467 | Blessed Smiles | Dentist | 5249 Duke St Ste L-10, Alexandria, VA 22304-2926 | 2020-02-21 |
| 1205307238 | Ideal Endodontics of Woodbridge Pllc | Dentist | 3102 Golansky Blvd Ste 101, Woodbridge, VA 22192-4244 | 2018-12-17 |
| 1154892677 | Prince William Parkway Dental PC | Dentist | 2542 Prince William Pkwy Ste 120, Woodbridge, VA 22192-4149 | 2018-12-10 |
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1588143309 | Deepika Ganesh | Dentist | 2601 Swiftrun Rd, Chester, VA 23831-5234 | 2018-08-13 |
| 1134614092 | Specialist Care Endodontics LLC | Dentist | 1964 Gallows Rd Ste 220, Vienna, VA 22182-3814 | 2018-06-24 |
| 1164911863 | Arlington Dental Excellence Specialists Pllc | Dentist | 3801 Fairfax Dr Ste 54, Arlington, VA 22203-1762 | 2018-05-08 |
| 1740790369 | Ashraf Eid | Dentist | 481 Garrisonville Rd Ste 103, Stafford, VA 22554-1601 | 2017-10-10 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
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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.