Chesapeake Family and Implant Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006063 Issued in VA

Legal business name

CHESAPEAKE FAMILY AND IMPLANT DENTISTRY LLC

Practice address

Chesapeake Family and Implant Dentistry
516 Innovation Dr. Suite 302
Chesapeake, VA 23320

Phone

(757) 436-0026

Fax

(757) 547-5658

NPI assigned

Apr 11, 2018

Last updated

Aug 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patty Lynn Heberling

Title

Office Manager

Phone

(757) 436-0026

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Harry Wooten Squire, DDS

  • General Practice Dentistry
  • Chesapeake, VA
  • NPI 1700445145
  NPD (past)

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1043717457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHESAPEAKE FAMILY AND IMPLANT DENTISTRY LLC",
            "address_2": "516 INNOVATION DR. SUITE 302",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-436-0026",
            "fax_number": "757-547-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHESAPEAKE FAMILY AND IMPLANT DENTISTRY",
            "address_2": "516 INNOVATION DR. SUITE 302",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-436-0026",
            "fax_number": "757-547-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE FAMILY AND IMPLANT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "HEBERLING",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-436-0026",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006063",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0401006063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesapeake Diagnostic Imaging Centers, LLC (Chesapeake Regional Imaging Center of Kempsville)
• Chesapeake Diagnostic Imaging Centers, LLC (Chesapeake Regional Imaging Center of Kingsborough)
• Chesapeake Ear, Nose & Throat Associates, P.C. (Eastern Virginia Ear, Nose & Throat Specialists)
• Chesapeake Eye Physicians Optical (Chesapeake Eye Care and Laser Center)
• Chesapeake Eye Physicians, PLC (Chesapeake Eye Care and Laser Center)
• Chesapeake Family Dental
• Chesapeake Family Practice, PC
• Chesapeake Foot and Ankle Center PC
• Chesapeake Health Investment Program, Inc
• Chesapeake Hearing AIDS LLC

• General Practice Dentistry in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.