NPIMap

Organization Active NPI

Savage & Reske LTD

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1124090535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4706 Issued in VA
Legal business name
SAVAGE & RESKE LTD
Practice address
4530 Professional Circle
Virginia Beach, VA 23455
Phone
(757) 499-0567
Fax
(757) 499-0939
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Randolph Elliott Savage, DDS
Title
President
Phone
(757) 499-0567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4706 VA Primary

Addresses

Primary practice location

4530 Professional Circle
Virginia Beach, VA 23455

Mailing address

4530 Professional Circle
Virginia Beach, VA 23455
Phone (757) 499-0567

National Provider Directory

National Provider Directory

Locations

4530 Professional Cir
Virginia Beach, VA 23455
Phone (757) 499-0567

Practitioners & affiliated clinicians

Practitioners 8

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": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124090535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 PROFESSIONAL CIRCLE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-499-0567",
            "fax_number": "757-499-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 PROFESSIONAL CIRCLE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-499-0567",
            "fax_number": "757-499-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVAGE & RESKE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-499-0567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "4706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.