NPIMap

Organization Active NPI

Dental Professionals of Virginia, P.C.

Doing business as Chesapeake Center for Complete Dentistry

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1043600125
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Doing business as
Chesapeake Center for Complete Dentistry
Practice address
629 Volvo Pkwy Ste 100
Chesapeake, VA 23320-4772
Phone
(757) 465-8900
Fax
(757) 488-7365
NPI assigned
Jan 28, 2015
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Heartland Dental
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

629 Volvo Pkwy Ste 100
Chesapeake, VA 23320-4772

Mailing address

629 Volvo Pkwy Ste 100
Chesapeake, VA 23320-4772
Phone (757) 465-8900

Other names 1

  • Chesapeake Center for Complete Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Dental Care of Virginia PC69 organizations share this tax ID, including this one
Part of
Heartland Dental Care of Virginia PC

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1207 Volvo Pkwy
#200
Chesapeake, VA 23320
Phone (757) 465-8900

629 Volvo Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 465-8900

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 6

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": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1043600125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 VOLVO PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204772",
            "telephone_number": "757-465-8900",
            "fax_number": "757-488-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 VOLVO PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204772",
            "telephone_number": "757-465-8900",
            "fax_number": "757-488-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF VIRGINIA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF VIRGINIA, P.C.",
        "enumeration_date": "2015-01-28",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "DENTAL",
        "authorized_official_first_name": "HEARTLAND",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Center for Complete Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chesapeake Center for Complete Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.