NPIMap

Organization Active NPI

Seaboard Dental Services

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1114216843
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008030 Issued in VA
Legal business name
SEABOARD DENTAL SERVICES
Practice address
1112 Laskin Road Suite B
Virginia Beach, VA 23451
Phone
(757) 425-1335
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Randall L Bittner, DMDNPI 1063516128
Title
Doctor Manager
Phone
(757) 425-1335

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401008030 VA Primary

Addresses

Primary practice location

1112 Laskin Road Suite B
Virginia Beach, VA 23451

Mailing address

1112 Laskin Road Suite B
Virginia Beach, VA 23451
Phone (757) 425-1335

Other names 1

  • Randall L. Bittner DMD, Family Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1112 Laskin Rd
Ste B
Virginia Beach, VA 23451
Phone (757) 425-1335

Practitioners & affiliated clinicians

Practitioners 2

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": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1114216843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 LASKIN ROAD SUITE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23451",
            "telephone_number": "757-425-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 LASKIN ROAD SUITE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23451",
            "telephone_number": "757-425-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABOARD DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "BITTNER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR MANAGER",
        "authorized_official_telephone_number": "757-425-1335",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randall L. Bittner DMD, Family Dentistry and Orthodontics",
            "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 Apr 4, 2011; 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.