NPIMap

Organization Active NPI

Vernon E. O'Berry, Jr. DDS

  • General Practice Dentistry
  • Norfolk, VA
National Provider Identifier
1083126320
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006196 Issued in VA
Legal business name
VERNON E. O'BERRY, JR. DDS
Practice address
400 Gresham Dr Ste 708
Norfolk, VA 23507-1991
Phone
(757) 627-1882
Fax
(757) 627-7807
NPI assigned
Oct 26, 2017
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Vernon E. O'Berry, Jr., DDS
Title
Dentist
Phone
(757) 627-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401006196 VA Primary

Addresses

Primary practice location

400 Gresham Dr Ste 708
Norfolk, VA 23507-1991

Mailing address

400 Gresham Dr Ste 708
Norfolk, VA 23507-1991
Phone (757) 627-1882

Other practice location 1

1062 Laskin Rd Ste 14A
Virginia Beach, VA 23451-6386
Phone (757) 627-1882

Other names 2

  • Vernon E. O'Berry, Jr. DDS Doing business as
  • Vernon E. O'Berry, Jr., DDS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Melvin E Cruser III DDS14 organizations share this tax ID, including this one
Part of
Melvin E Cruser III DDS

Other organizations with this tax ID 13

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

View all 13

Locations

1062 Laskin Rd
Ste 14A
Virginia Beach, VA 23451
Phone (757) 425-8055

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.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1083126320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR STE 708",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071991",
            "telephone_number": "757-627-1882",
            "fax_number": "757-627-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR STE 708",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071991",
            "telephone_number": "757-627-1882",
            "fax_number": "757-627-7807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1062 Laskin Rd Ste 14A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234516386",
            "country_code": "US",
            "telephone_number": "757-627-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VERNON E. O'BERRY, JR. DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "O'BERRY, JR.",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-627-1882",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernon E. O'Berry, Jr. DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vernon E. O'Berry, Jr., DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 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.