NPIMap

Organization Active NPI

Scott R Goodove DDS PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Virginia Beach, VA
National Provider Identifier
1043498231
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401410548 Issued in VA
Legal business name
SCOTT R GOODOVE DDS PLC
Practice address
1127 First Colonial Rd
Virginia Beach, VA 23454-2402
Phone
(757) 412-2002
Fax
(757) 412-2003
NPI assigned
Feb 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Dr. Scott Robbins Goodove, DDS
Title
Ceo
Phone
(757) 412-2002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 401410548 VA
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 0401410548 VA Primary

Addresses

Primary practice location

1127 First Colonial Rd
Virginia Beach, VA 23454-2402

Mailing address

1127 First Colonial Rd
Virginia Beach, VA 23454-2402
Phone (757) 412-2002

Other names 1

  • Goodove Oral Surgery & Dental Implants Doing business as

National Provider Directory

National Provider Directory

Locations

1127 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 412-2002

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1202601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1043498231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542402",
            "telephone_number": "757-412-2002",
            "fax_number": "757-412-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542402",
            "telephone_number": "757-412-2002",
            "fax_number": "757-412-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R GOODOVE DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-10",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "GOODOVE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ROBBINS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-412-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "401410548",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401410548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodove Oral Surgery & Dental Implants",
            "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 May 23, 2018; 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.