NPIMap

Organization Active NPI

Timothy a. Leigh,D.D.S.,P.C.

Doing business as a division of Atlantic Dental Care

  • General Practice Dentistry
  • Gloucester, VA
National Provider Identifier
1295131019
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006547 Issued in VA
Legal business name
TIMOTHY A. LEIGH,D.D.S.,P.C.
Doing business as
a division of Atlantic Dental Care
Practice address
6661 Main St
Gloucester, VA 23061-5194
Phone
(804) 693-2575
Fax
(804) 694-5235
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE,PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Timothy Alan Leigh, D.D.S.NPI 1699867655
Title
Dentist
Phone
(804) 693-2575

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
General Practice Dentistry 1223G0001X 0401006547 VA Primary

Addresses

Primary practice location

6661 Main St
Gloucester, VA 23061-5194

Mailing address

PO Box 490
Gloucester, VA 23061-0490
Phone (804) 693-2575

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Tracy S Oliver DDS PC

Locations

6661 Main St
Gloucester, VA 23061
Phone (804) 693-2575

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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1295131019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230610490",
            "telephone_number": "804-693-2575",
            "fax_number": "804-694-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6661 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615194",
            "telephone_number": "804-693-2575",
            "fax_number": "804-694-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A. LEIGH,D.D.S.,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE,PLC",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "LEIGH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-693-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gloucester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.