JULIAN W. FIELDS D.D.S., LTD. (NPI# 1861658726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861658726 |
| Entity Type | Organization |
| Organization Name | JULIAN W. FIELDS D.D.S., LTD. |
| Practice Address |
2180 Lynch Mill Rd Altavista VA 24517-1150 |
| Practice Telephone | 4343694702 |
| Practice Fax Number | 4343694703 |
| Mailing Telephone | 4343694702 |
| Mailing Fax Number | 4343694703 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | DR. JULIAN W. FIELDS IV (DENTIST/OWNER) |
| Authorized Official Telephone | 4343694702 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
0401007246 | VA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0401008664 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICAID LOCATION NUMBER | 108554 | 01 |
| VA | BLUE CROSS BLUE SHIELD PROVIDER NUMBER | 342746 | 01 |
| VA | INDIVIDUAL PROVIDER NPI | 1245383397 | 01 |
| VA | INDIVIDUAL PROVIDER NPI | 1578533063 | 01 |
| VA | BLUE CROSS BLUE SHIELD PROVIDER NUMBER | 463565 | 01 |
| VA | 9180988 | 05 |
| Street Address |
2180 LYNCH MILL RD |
| City | ALTAVISTA |
| State | VA |
| Zip Code | 24517-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245383397 | Julian William Fields Iv | Dentist | 2180 Lynch Mill Rd, Altavista, VA 24517-1150 | 2007-01-20 |
| 1326440546 | Julian Fields, Dds Ltd | Dentist | 2180 Lynch Mill Rd, Altavista, VA 24517-1150 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427130756 | Wal-mart Stores East, Lp | Technician/Technologist | 125 Clarion Road, Alta Vista, VA 24517 | 2006-10-19 |
| 1598719734 | Altavista Life Saving and First Aid Crew, Incorporated | Ambulance | 1510 Main St, Altavista, VA 24517 | 2006-05-20 |
| 1154329779 | Francis C. Carter | Family Medicine | 1280a Main Street, Altavista, VA 24517 | 2005-07-08 |
| 1275671240 | Leslie Lindsay Aylor | Speech-Language Pathologist | 1317 Lola Ave, Altavista, VA 24517 | 2007-02-02 |
| 1891105607 | Horizon Behavioral Health | Intermediate Care Facility, Mentally Retarded | 101 Avoca Ln, Altavista, VA 24517-1154 | 2014-05-01 |
| 1700926029 | Altavista Adult Day Care Center. Inc | Clinic/Center | 103 Avoca Ln, Altavista, VA 24517-1154 | 2007-02-07 |
| 1063430726 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 125 Clarion Rd, Altavista, VA 24517-1164 | 2006-07-18 |
| 1275133100 | David Findle | Pharmacist | 125 Clarion Rd, Altavista, VA 24517-1164 | 2020-10-29 |
| 1548704927 | Vision Services of Virginia | Optometrist | 125 Clarion Rd, Altavista, VA 24517-1164 | 2016-12-05 |
| 1134105836 | Autumn Corporation | Custodial Care Facility | 1317 Lola Ave, Altavista, VA 24517-1352 | 2005-12-15 |
| Find all providers in zip 24517 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1952914970 | Azul Family Dentistry LLC | Clinic/Center | 9605 Critzers Shop Rd, Afton, VA 22920-2416 | 2020-08-28 |
| 1083225429 | Long Ridge Dentistry, PC | Clinic/Center | 2780 Stuarts Draft Hwy Ste 102, Stuarts Draft, VA 24477-2779 | 2020-08-10 |
| 1942810882 | Lexington Smiles, Pllc | Clinic/Center | 123 S Randolph St, Lexington, VA 24450-2065 | 2020-08-05 |
| 1437767670 | Brad Spano Dds, P.C. | Clinic/Center | 1200 Five Springs Rd Ste 101, Charlottesville, VA 22902-8756 | 2020-07-14 |
| 1912525908 | Carabella Dental | Clinic/Center | 420 South Pickett Street, Alexandria, VA 22304-2230 | 2020-07-07 |
| 1669097044 | Lortontown Dental | Clinic/Center | 9010 Lorton Station Blvd Ste 135, Lorton, VA 22079-4794 | 2020-06-11 |
| 1578187035 | Karande Dental Care | Clinic/Center | 2063 Jefferson Davis Hwy Ste 1, Stafford, VA 22554-7291 | 2020-06-01 |
| 1326662917 | Hideki Seto, Dds Pllc | Clinic/Center | 8551 Rixlew Ln Ste 130, Manassas, VA 20109-4277 | 2020-05-30 |
| Find all providers with the same taxonomy | ||||
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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.