Aspen Dental of Virginia PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ASPEN DENTAL OF VIRGINIA PC

Practice address

4625 Virginia Beach Blvd
Virginia Beach, VA 23462-6795

Phone

(757) 807-2137

NPI assigned

Aug 16, 2018

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gursimrat Judge

Title

Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kylie Giselle Santos Pelayo-Kim

  • General Practice Dentistry
  • Williamsburg, VA
  • NPI 1346817434
  NPD (past)
• Reynaldo Lorenzo Pella

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1265060313
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1346720661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626795",
            "telephone_number": "757-807-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN DENTAL OF VIRGINIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "GURSIMRAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amire Askew
• Jessica Askew
• Katrina Lynette Askew, LPC
• Molly Askew
• Selina Askew
• Aspire Professional Services LLC
• Susan M Asprey, LCSW
• Asra R Javeed DMD PC (A Division of Atlantic Dental Care)
• Starr S Asrouch
• Associated Counselors of Tidewater

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.