Individual provider Active NPI

Gail Verna Plauka, D.M.D.

  • Pediatric Dentistry
  • Chesapeake, VA
National Provider Identifier
1164424263
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401-00006218 Issued in VA
Practice address
350 Johnstown Rd
Ste C
Chesapeake, VA 23322-5365
Phone
(757) 482-4777
Fax
(757) 546-9820
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401-00006218 VA Primary

Addresses

Primary practice location

350 Johnstown Rd
Ste C
Chesapeake, VA 23322-5365

Mailing address

350 Johnstown Rd
Ste C
Chesapeake, VA 23322-5365
Phone (757) 482-4777

Other identifiers 4

IdentifierTypeStateIssuer
094767OtherVABLUE CROSS BLUE SHIELD
0401-00006218OtherVASTATE LICENSE
46767OtherVAUNITED CONCORDIA PROVIDER
8221979MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401-00006218VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gail V. Plauka, D.M.D., P.C. Pediatric Dentistry Past Accepting new patients
Tidal Smiles Pediatric Dentistry PLLC Pediatric Dentistry PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164424263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 JOHNSTOWN RD",
            "address_2": "STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225365",
            "telephone_number": "757-482-4777",
            "fax_number": "757-546-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHNSTOWN RD",
            "address_2": "STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225365",
            "telephone_number": "757-482-4777",
            "fax_number": "757-546-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAUKA",
        "first_name": "GAIL",
        "middle_name": "VERNA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401-00006218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "094767",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0401-00006218",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "46767",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8221979",
            "state": "VA"
        }
    ],
    "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 Jul 13, 2026; 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.