Collective Health Care Services

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COLLECTIVE HEALTH CARE SERVICES

Practice address

4301 Thoroughgood Dr
Virginia Beach, VA 23455-4438

Phone

(443) 285-3385

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Caroline M Reed

Title

Consultant

Phone

(443) 285-3385

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1306560180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 THOROUGHGOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554438",
            "telephone_number": "443-285-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 THOROUGHGOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554438",
            "telephone_number": "443-285-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "443-285-3385"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@collectivehc.com",
            "affiliation": "N",
            "endpointDescription": "Paperwork email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4301 Thoroughgood Dr",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234554438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.