Tidal Smiles Pediatric Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TIDAL SMILES PEDIATRIC DENTISTRY PLLC

Practice address

1755 City Center Blvd Unit B-2
Elizabeth City, NC 27909-8938

Phone

(252) 251-7900

NPI assigned

Jan 21, 2022

Organization subpart

Yes

Parent organization

TIDAL SMILES PEDIATRIC DENTISTRY, PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Luke Winter, DDSNPI 1629481882

Title

Owner

Phone

(540) 327-6061

Specialties & licenses 1

Addresses

Other names 1

• D. Luke Winter DDS PLLC Doing business as

Tax ID family

Tidal Smiles Pediatric Dentistry PLLC2 organizations share this tax ID, including this one

Part of

Tidal Smiles Pediatric Dentistry PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tidal Smiles Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Chesapeake, VA
  • NPI 1548782873
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Luke Winter, D.D.S.

  • Pediatric Dentistry
  • Chesapeake, VA
  • NPI 1629481882
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1003568072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 EVELYN WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222488",
            "telephone_number": "540-327-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 CITY CENTER BLVD UNIT B-2",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098938",
            "telephone_number": "252-251-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL SMILES PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIDAL SMILES PEDIATRIC DENTISTRY, PLLC",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-327-6061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D. Luke Winter DDS PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thompson & Gray, DDS, PA
• Alfred Hunter Thompson, M.D.
• Kaleb Thompson, D.M.D.
• Dwayne Thwaites, MD
• Meghan Tice, PHARMD
• Tidewater Radiation Services, LLC
• Janice Kay Todd, N.P.
• Todd'S Pharmacy Inc
• Todds Northside Professional Pchy
• Todds Northside Professional Pharmacy,Inc.

• Dental Clinic/Center in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.