Organization Active NPI

Isle of Wight Family & Cosmetic Dentistry PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1124572417
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
401411215 Issued in VA
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

Updated by the provider on Aug 4, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.