NPIMap

Organization Active NPI

Ronald Tankersley DDS Numa Ray Lee DDS Jeffrey N Kenney DDS W Les

  • Oral and Maxillofacial Surgery (Dentist)
  • Newport News, VA
National Provider Identifier
1295930097
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401003791 Issued in VA
Legal business name
RONALD TANKERSLEY DDS NUMA RAY LEE DDS JEFFREY N KENNEY DDS W LES
Practice address
716 Denbigh Blvd
Suite C1
Newport News, VA 23608-4414
Phone
(757) 874-6501
Fax
(757) 874-8741
NPI assigned
Jun 20, 2007
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Ronald L Tankerlsey, DDS
Title
Partner
Phone
(757) 595-8964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 0401003791 VA Primary

Addresses

Primary practice location

716 Denbigh Blvd
Suite C1
Newport News, VA 23608-4414

Mailing address

732 Thimble Shoals Blvd
Suite 202B
Newport News, VA 23606-4218
Phone (757) 595-8961

National Provider Directory

National Provider Directory

Locations

5837 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 686-2703

1323 Jamestown Rd
Ste 203
Williamsburg, VA 23185
Phone (757) 253-2393

Practitioners & affiliated clinicians

Practitioners 11

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1295930097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 202B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064218",
            "telephone_number": "757-595-8961",
            "fax_number": "757-595-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 DENBIGH BLVD",
            "address_2": "SUITE C1",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084414",
            "telephone_number": "757-874-6501",
            "fax_number": "757-874-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD TANKERSLEY DDS NUMA RAY LEE DDS JEFFREY N KENNEY DDS W LES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "TANKERLSEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "757-595-8964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401003791",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 4, 2012; 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.