BON SECOURS PEDIATRIC DENTAL ASSOCIATES
NPI 1265706188
Dentist - Pediatric Dentistry in Richmond, VA
About Bon Secours Pediatric Dental Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BON SECOURS PEDIATRIC DENTAL ASSOCIATES (NPI 1265706188) is a healthcare organization registered as a pediatric dentistry in Richmond, Virginia and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through September 12, 2028 and lists Joseph Hardy, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bon Secours Pediatric Dental Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
163Medicare enrollment records show 163 clinicians reassign Medicare billing to Bon Secours Pediatric Dental Associates, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 84 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 163Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D2046915
Bon Secours Pediatric Dental Associates · Richmond, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bon Secours St Mary's Hospital Of Richmond LLC's NPI number?
The NPI number for Bon Secours St Mary's Hospital Of Richmond LLC is 1265706188. It was assigned to this organization in the NPPES registry on February 24, 2012. The provider is doing business as Bon Secours Pediatric Dental Associates.
Where is Bon Secours St Mary's Hospital Of Richmond LLC located?
Bon Secours St Mary's Hospital Of Richmond LLC is located at 6900 Forest Ave Suite 110, Richmond, VA 23230. The listed phone number is (804) 893-8715.
What is Bon Secours St Mary's Hospital Of Richmond LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Bon Secours St Mary's Hospital Of Richmond LLC enrolled in Medicare?
Yes. Bon Secours St Mary's Hospital Of Richmond LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bon Secours St Mary's Hospital Of Richmond LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 163 clinicians in 24 Medicare specialties reassign their Medicare billing to Bon Secours St Mary's Hospital Of Richmond LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (46), Internal Medicine (25) and Obstetrics/Gynecology (23). Of these, 2 practice at this address and 84 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bon Secours St Mary's Hospital Of Richmond LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2046915) is associated with this NPI, valid through September 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bon Secours St Mary's Hospital Of Richmond LLC accept?
Health plans from DentaQuest and UnitedHealthcare list Bon Secours St Mary's Hospital Of Richmond LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bon Secours St Mary's Hospital Of Richmond LLC was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bon Secours Pediatric Dental Associates · NPI 1265706188
Pediatric Dentistry organization in Richmond, Virginia. Organization record, active in the CMS NPPES registry since February 24, 2012.
## Identity
- **NPI:** 1265706188 (Entity type: Organization)
- **Enumerated:** February 24, 2012
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **Legal business name:** Bon Secours St Mary's Hospital Of Richmond Llc
- **Organization subpart:** No
- **Authorized official:** Joseph Hardy, CFO
## Practice location
- **Address:** 6900 FOREST AVE, SUITE 110, Richmond, VA 23230-1701
- **Phone:** (804) 893-8715 · **Fax:** (804) 285-1292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 163 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (46), Internal Medicine (25), Obstetrics/Gynecology (23); 2 practice at this address and 84 within 10 miles; [full list](https://npiprofile.com/npi/1265706188/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2021
- **Other identifiers:** Other C06778 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265706188) · Data from the CMS NPPES public registry.