Organization Active NPI

Pediatric Consultants of Hampton Roads

  • Primary Care Clinic/Center
  • Newport News, VA
National Provider Identifier
1235222571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101046667 Issued in VA
Legal business name
PEDIATRIC CONSULTANTS OF HAMPTON ROADS
Practice address
1405 Kiln Creek Pkwy
Ste E
Newport News, VA 23602-9700
Phone
(757) 875-9700
Fax
(757) 875-1028
NPI assigned
Oct 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tien L Vanden Hoek, MDNPI 1952375651
Title
Partner
Phone
(757) 875-9700

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
Primary Care Clinic/Center 261QP2300X 0101046667 VA Primary

Addresses

Primary practice location

1405 Kiln Creek Pkwy
Ste E
Newport News, VA 23602-9700

Mailing address

1405 Kiln Creek Pkwy
Ste E
Newport News, VA 23602-9700
Phone (757) 875-9700

Other identifiers 2

IdentifierTypeStateIssuer
6700047MedicaidVA
6700136MedicaidVA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0969345Pediatric Consultants of Hampton Roads1405 Kiln Creek Parkway - Suite E, Newport News, VA 23602Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

1405 Kiln Creek Pkwy
Ste E
Newport News, VA 23602
Phone (757) 875-9700

Practitioners & affiliated clinicians

Practitioners 2

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": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235222571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 KILN CREEK PKWY",
            "address_2": "STE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029700",
            "telephone_number": "757-875-9700",
            "fax_number": "757-875-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 KILN CREEK PKWY",
            "address_2": "STE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029700",
            "telephone_number": "757-875-9700",
            "fax_number": "757-875-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CONSULTANTS OF HAMPTON ROADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDEN HOEK",
        "authorized_official_first_name": "TIEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "757-875-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101046667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6700047",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6700136",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.