NPIMap

Organization Active NPI

Pediatric Dental Care of Tidewater PC

Doing business as Weis Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Virginia Beach, VA
National Provider Identifier
1033926662
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PEDIATRIC DENTAL CARE OF TIDEWATER PC
Doing business as
Weis Orthodontics
Practice address
2029 Lynnhaven Pkwy
Virginia Beach, VA 23456-1474
Phone
(757) 703-1923
NPI assigned
Dec 17, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC DENTAL CARE OF TIDEWATER PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Morgan Trey WeisNPI 1033192398
Title
Owner
Phone
(757) 484-8262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2029 Lynnhaven Pkwy
Virginia Beach, VA 23456-1474

Mailing address

5915 High St W
Portsmouth, VA 23703-4505
Phone (757) 484-8262

Other names 1

  • Weis Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Dental Care of Tidewater PC2 organizations share this tax ID, including this one
Part of
Pediatric Dental Care of Tidewater PC

Other organizations with this tax ID 1

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

Locations

2029 Lynnhaven Pkwy
Virginia Beach, VA 23456
Phone (757) 471-0863

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1033926662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 HIGH ST W",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034505",
            "telephone_number": "757-484-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 LYNNHAVEN PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561474",
            "telephone_number": "757-703-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL CARE OF TIDEWATER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC DENTAL CARE OF TIDEWATER PC",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "WEIS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "TREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-484-8262"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weis Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.