Active NPI
Eastern Virginia Pediatric Associates
- Pediatric Dentistry
- Norfolk, VA
National Provider Identifier
1215447115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8103
- Legal business name
- EASTERN VIRGINIA PEDIATRIC ASSOCIATES
- Practice address
- 1806 Hampton Blvd Ste a
Norfolk, VA 23517-1682 - Phone
- (757) 627-7550
- Fax
- (757) 627-2634
- NPI assigned
- Oct 5, 2017
- Organization subpart
- Yes
- Parent organization
- ATLANTIC DENTAL CARE, PLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pamela A Morgan, DDS
- Title
- Dentist
- Phone
- (757) 627-7550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8103 | VA | Primary |
Addresses
Primary practice location
1806 Hampton Blvd Ste a
Norfolk, VA 23517-1682
Mailing address
1806 Hampton Blvd Ste a
Norfolk, VA 23517-1682
Phone (757) 627-7550
Other names 1
- A Division of Atlantic Dental Care
National Provider Directory
National Provider Directory- Part of
- Melvin E Cruser III DDS
Locations
1806 Hampton Blvd
Ste A
Norfolk, VA 23517
Phone (757) 627-7550
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dentist
- Virginia Beach, VA
- NPI 1831434711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507161600000",
"number": "1215447115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 HAMPTON BLVD STE A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171682",
"telephone_number": "757-627-7550",
"fax_number": "757-627-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 HAMPTON BLVD STE A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171682",
"telephone_number": "757-627-7550",
"fax_number": "757-627-2634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN VIRGINIA PEDIATRIC ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
"enumeration_date": "2017-10-05",
"last_updated": "2017-10-05",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "757-627-7550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "8103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A Division of Atlantic Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.