Virginia Orthodontic Sepcialist

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4032 Issued in VA

Legal business name

VIRGINIA ORTHODONTIC SEPCIALIST

Practice address

829 Lynnhaven Pkwy Ste 121
Virginia Beach, VA 23452-7224

Phone

(757) 340-9020

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Waitkus, DDS, MS

Title

Doctor

Phone

(757) 340-9020

Specialties & licenses 1

Addresses

Tax ID family

Virginia Orthodontic Sepcialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Virginia Orthodontic Specialist

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hampton, VA
  • NPI 1497957286
  NPD tax ID

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205045648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 LYNNHAVEN PKWY STE 121",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527224",
            "telephone_number": "757-340-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 LYNNHAVEN PKWY STE 121",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527224",
            "telephone_number": "757-340-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA ORTHODONTIC SEPCIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAITKUS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "757-340-9020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "4032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Virginia Medical Specialists PC
• Virginia Medical Specialists, PLC (Pulmonary Medicine of Virginia Beach)
• Virginia Oncology Associates
• Virginia Podiatry PC
• Virginia Residential Care, LLC
• Virginia Spinal Group
• Virginia State Properties LLC
• Virginia Support Group, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.