Childrens Surgical Specialty Group Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDRENS SURGICAL SPECIALTY GROUP INC

Doing business as

Children's Plastic and Maxillofacial Surgery

Practice address

301 Riverview Ave Ste 300
Norfolk, VA 23510-1066

Phone

(757) 668-7713

Fax

(757) 668-7711

NPI assigned

Feb 7, 2025

Organization subpart

Yes

Parent organization

CHILDRENS SURGICAL SPECIALTY GROUP INCAs reported in NPPES

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

Authorized official

Name

Kathryn J Abshire

Title

Senior VP/Cfo

Phone

(757) 668-8565

Specialties & licenses 1

Addresses

Other names 1

• Children's Plastic and Maxillofacial Surgery Doing business as

Part of

Childrens Surgical Spec

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1346054467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101066",
            "telephone_number": "757-668-7713",
            "fax_number": "757-668-7711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Concert Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234568082",
            "country_code": "US",
            "telephone_number": "757-668-7713",
            "fax_number": "757-668-7711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Childrens Ln",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071910",
            "country_code": "US",
            "telephone_number": "757-668-7713",
            "fax_number": "757-668-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDRENS SURGICAL SPECIALTY GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDRENS SURGICAL SPECIALTY GROUP INC",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "ABSHIRE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "757-668-8565"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Plastic and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Childrens Medical Group Inc
• Childrens Physician Group Inc
• Childrens Physician Group Inc
• Childrens Physician Group Inc
• Childrens Specialty Group PLLC
• Childs Foundation
• Elizabeth A. Chisholm, M.S., C.G.C.
• Pawankumar Aditya Chitta, MD
• Shripadh Chitta, MD
• Michael Sang Joon Cho, MD

• Pediatric Dentistry in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.