NPIMap

Individual provider Active NPI

Pamela Annette Winter, D.D.S.

  • Pediatric Dentistry
  • Chesapeake, VA
National Provider Identifier
1255772497
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401414768 Issued in VA
Practice address
350 Johnstown Rd Ste C
Chesapeake, VA 23322-5365
Phone
(757) 482-4777
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DGD.8264GD SC
Dentist 122300000X 0401414768 VA
Pediatric Dentistry 1223P0221X 0401414768 VA Primary

Addresses

Primary practice location

350 Johnstown Rd Ste C
Chesapeake, VA 23322-5365

Mailing address

350 Johnstown Rd Ste C
Chesapeake, VA 23322-5365
Phone (757) 482-4777

Other practice location 1

901 Enterprise Parkway
Suite 500
Hampton, VA 23666
Phone (757) 896-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DGD.8264GDSCMDDentist
0401414768VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gail V. Plauka, D.M.D., P.C. Pediatric Dentistry Past Accepting new patients
Michael P. McCormick Jr., D.D.S., P.C. Dentist Past Accepting new patients
Tidal Smiles Pediatric Dentistry PLLC Pediatric Dentistry PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1255772497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 JOHNSTOWN RD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225365",
            "telephone_number": "757-482-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHNSTOWN RD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225365",
            "telephone_number": "757-482-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Enterprise Parkway",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "23666",
            "country_code": "US",
            "telephone_number": "757-896-4900",
            "fax_number": "757-896-4905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTER",
        "first_name": "PAMELA",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8264GD",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414768",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401414768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.