Organization Active NPI

Gerald Q. Freeman Jr., DDS LLC

  • Dentist
  • Newport News, VA
National Provider Identifier
1124424338
Registry record updated Nov 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5782 Issued in VA
Legal business name
GERALD Q. FREEMAN JR., DDS LLC
Practice address
12482 Warwick Blvd
Ste G
Newport News, VA 23606-3004
Phone
(757) 599-3182
NPI assigned
Nov 15, 2014
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2014

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

Authorized official

Name
Dr. Gerald Quinton Freeman Jr., DDSNPI 1194870071
Title
Dentist
Phone
(757) 599-3182

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 5782 VA Primary

Addresses

Primary practice location

12482 Warwick Blvd
Ste G
Newport News, VA 23606-3004

Mailing address

12482 Warwick Blvd
Ste G
Newport News, VA 23606-3004
Phone (757) 599-3182

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Melvin E Cruser III DDS

Locations

12482 Warwick Blvd
Ste G
Newport News, VA 23606
Phone (757) 599-3182

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 1

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": "1416009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416009600000",
    "number": "1124424338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12482 WARWICK BLVD",
            "address_2": "STE G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063004",
            "telephone_number": "757-599-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12482 WARWICK BLVD",
            "address_2": "STE G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063004",
            "telephone_number": "757-599-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD Q. FREEMAN JR., DDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2014-11-15",
        "last_updated": "2014-11-15",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "QUINTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-599-3182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "5782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; 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.