Organization Active NPI

Good Neighbor Dental at Great Neck

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1245612514
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GOOD NEIGHBOR DENTAL AT GREAT NECK
Practice address
2865 Lynnhaven Dr
Suite C-4
Virginia Beach, VA 23451-1542
Phone
(757) 481-3000
NPI assigned
Jun 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Sheryl A BrownNPI 1821479726
Title
Director of Operatios
Phone
(757) 784-8070

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2865 Lynnhaven Dr
Suite C-4
Virginia Beach, VA 23451-1542

Mailing address

2865 Lynnhaven Dr
Suite C-4
Virginia Beach, VA 23451-1542
Phone (757) 481-3000

National Provider Directory

National Provider Directory

Locations

2865 Lynnhaven Dr
Ste C4
Virginia Beach, VA 23451
Phone (757) 481-3000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1245612514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 LYNNHAVEN DR",
            "address_2": "SUITE C-4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511542",
            "telephone_number": "757-481-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 LYNNHAVEN DR",
            "address_2": "SUITE C-4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511542",
            "telephone_number": "757-481-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR DENTAL AT GREAT NECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIOS",
        "authorized_official_telephone_number": "757-784-8070"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.