Organization Active NPI

Norfolk Dental Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Norfolk, VA
National Provider Identifier
1043043516
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NORFOLK DENTAL SURGICAL CENTER
Practice address
1732 E Little Creek Road
Norfolk, VA 23518
Phone
(484) 226-7023
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Trina Collins, DDSNPI 1780779496
Title
Owner
Phone
(484) 226-7023

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1732 E Little Creek Road
Norfolk, VA 23518

Mailing address

PO Box 14186
Norfolk, VA 23518-0186

National Provider Directory

National Provider Directory

Locations

1732 E Little Creek Rd
Norfolk, VA 23518
Phone (484) 226-7023

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1043043516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14186",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235180186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 E LITTLE CREEK ROAD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23518",
            "telephone_number": "484-226-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORFOLK DENTAL SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-226-7023",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.