Active NPI
Isle of Wight Family & Cosmetic Dentistry PC
- Oral and Maxillofacial Surgery Clinic/Center
- Chesapeake, VA
National Provider Identifier
1124572417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 401411215
- Legal business name
- ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC
- Practice address
- 4053 Taylor Rd
Suite J
Chesapeake, VA 23321-5537 - Phone
- (757) 484-2382
- Fax
- (757) 484-2383
- NPI assigned
- Aug 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Patrick Szakaly, D.D.S
- Title
- Director
- Phone
- (757) 484-2382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | 401411215 | VA | Primary |
Addresses
Primary practice location
4053 Taylor Rd
Suite J
Chesapeake, VA 23321-5537
Mailing address
4053 Taylor Rd
Suite J
Chesapeake, VA 23321-5537
Phone (757) 484-2382
National Provider Directory
National Provider DirectoryLocations
4053 Taylor Rd
Ste J
Chesapeake, VA 23321
Phone (757) 484-2382
200 Gumwood Dr
Smithfield, VA 23430
Phone (757) 356-1212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470268800000",
"number": "1124572417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4053 TAYLOR RD",
"address_2": "SUITE J",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215537",
"telephone_number": "757-484-2382",
"fax_number": "757-484-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4053 TAYLOR RD",
"address_2": "SUITE J",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215537",
"telephone_number": "757-484-2382",
"fax_number": "757-484-2383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-04",
"last_updated": "2016-08-04",
"status": "A",
"authorized_official_last_name": "SZAKALY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "757-484-2382",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "401411215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.