Organization Active NPI

Advanced Sedation Dentistry - Hampton

  • Ambulatory Surgical Clinic/Center
  • Hampton, VA
National Provider Identifier
1336585702
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0401410912 Issued in VA
Legal business name
ADVANCED SEDATION DENTISTRY - HAMPTON
Practice address
2111 Hartford Rd
Suite D
Hampton, VA 23666-2576
Phone
(757) 838-0800
NPI assigned
May 13, 2013
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Haralambos Garofalis, DDSNPI 1528030608
Title
Managing Partner
Phone
(757) 240-5711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0401410912 VA Primary

Addresses

Primary practice location

2111 Hartford Rd
Suite D
Hampton, VA 23666-2576

Mailing address

220 Nat Turner Blvd S
Newport News, VA 23606-2899
Phone (757) 240-5711

National Provider Directory

National Provider Directory

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": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1336585702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NAT TURNER BLVD S",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062899",
            "telephone_number": "757-240-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 HARTFORD RD",
            "address_2": "SUITE D",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662576",
            "telephone_number": "757-838-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SEDATION DENTISTRY - HAMPTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "GAROFALIS",
        "authorized_official_first_name": "HARALAMBOS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "757-240-5711",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "0401410912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.