Organization Active NPI

Robert D. Wernick, D.D.S, P.C.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1083950810
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401006416 Issued in VA
Legal business name
ROBERT D. WERNICK, D.D.S, P.C.
Practice address
2004 Sandbridge Rd
Ste 100
Virginia Beach, VA 23456-4084
Phone
(757) 427-2212
Fax
(757) 427-0665
NPI assigned
Dec 26, 2012
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. Robert Dale Wernick, D.D.S.NPI 1063543411
Title
Dentist
Phone
(757) 427-2212

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401006416 VA Primary

Addresses

Primary practice location

2004 Sandbridge Rd
Ste 100
Virginia Beach, VA 23456-4084

Mailing address

2004 Sandbridge Rd
Ste 100
Virginia Beach, VA 23456-4084
Phone (757) 427-2212

Other names 1

  • a division of Atlantic Dental Care, P.L.C. Other name

National Provider Directory

National Provider Directory
Part of
Melvin E Cruser III DDS

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 5

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": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1083950810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SANDBRIDGE RD",
            "address_2": "STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564084",
            "telephone_number": "757-427-2212",
            "fax_number": "757-427-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 SANDBRIDGE RD",
            "address_2": "STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564084",
            "telephone_number": "757-427-2212",
            "fax_number": "757-427-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. WERNICK, D.D.S, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "WERNICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-427-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care, P.L.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 26, 2012; 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.