Organization Active NPI

Hometown Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Hill, VA
National Provider Identifier
1194485748
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
HOMETOWN ORTHODONTICS
Practice address
119 S Mecklenburg Ave
South Hill, VA 23970-2603
Phone
(434) 447-6481
NPI assigned
Dec 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Dr. Ebony Deanna Reed, DMD, MSNPI 1255696316
Title
Orthodontist
Phone
(434) 447-6481

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

119 S Mecklenburg Ave
South Hill, VA 23970-2603

Mailing address

6721 Crittenden Rd
Suffolk, VA 23432-1609
Phone (661) 205-1764

National Provider Directory

National Provider Directory

Locations

119 S Mecklenburg Ave
South Hill, VA 23970
Phone (434) 447-6481

Practitioners & affiliated clinicians

Practitioners 3

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": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1194485748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 CRITTENDEN RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234321609",
            "telephone_number": "661-205-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S MECKLENBURG AVE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702603",
            "telephone_number": "434-447-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "DEANNA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "434-447-6481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.