NPIMap

Organization Active NPI

Hampton Roads Pediatric Dentistry and Orthodontics, PLLC

  • Pediatric Dentistry
  • Newport News, VA
National Provider Identifier
1265823272
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401410912 Issued in VA
Legal business name
HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Doing business as
Hampton Roads Pediatric Dentistry and Orthodontics, PLLC
Practice address
220 Nat Turner Blvd S
Newport News, VA 23606-2998
Phone
(757) 240-5711
NPI assigned
Feb 12, 2015
Last updated
Apr 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Grace O Davis
Title
Business Administrator
Phone
(757) 369-1754

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401410912 VA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401414620 VA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401412905 VA

Addresses

Primary practice location

220 Nat Turner Blvd S
Newport News, VA 23606-2998

Mailing address

3120 Kiln Creek Pkwy Ste P
Yorktown, VA 23693-5648
Phone (757) 369-1754

Other practice location 1

446 Effingham St
Portsmouth, VA 23704-3464
Phone (757) 397-9801

Other practice location 2

237 Hanbury Rd E
Chesapeake, VA 23322-6621
Phone (757) 547-2134

Other practice location 3

6882 Main St
Gloucester, VA 23061-5163
Phone (804) 695-2575

Other practice location 4

7109 George Washington Mem Hwy
Yorktown, VA 23692-4842
Phone (757) 369-1215

Other names 1

  • Hampton Roads Pediatric Dentistry and Orthodontics, PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hampton Roads Pediatric Dentistry and Orthodontics PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

7109 George Washington Mem Hwy
Yorktown, VA 23692
Phone (757) 369-1215

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1265823272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 KILN CREEK PKWY STE P",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935648",
            "telephone_number": "757-369-1754",
            "fax_number": "757-234-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NAT TURNER BLVD S",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062998",
            "telephone_number": "757-240-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 Effingham St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237043464",
            "country_code": "US",
            "telephone_number": "757-397-9801",
            "fax_number": "757-397-9805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 Hanbury Rd E",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233226621",
            "country_code": "US",
            "telephone_number": "757-547-2134",
            "fax_number": "757-410-4765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6882 Main St",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230615163",
            "country_code": "US",
            "telephone_number": "804-695-2575",
            "fax_number": "804-695-2815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7109 George Washington Mem Hwy",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236924842",
            "country_code": "US",
            "telephone_number": "757-369-1215",
            "fax_number": "757-969-6357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "757-369-1754"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410912",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401414620",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401412905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Roads Pediatric Dentistry and Orthodontics, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 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.