NPIMap

Organization Active NPI

Mary a. Haley, D.D.S., PLLC

  • Dentist
  • Chesapeake, VA
National Provider Identifier
1366177016
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARY A. HALEY, D.D.S., PLLC
Practice address
801 Greenbrier Pkwy Ste a
Chesapeake, VA 23320-3822
Phone
(757) 547-3003
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Dr. Mary A. Haley, DDSNPI 1437355369
Title
Owner
Phone
(319) 621-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

801 Greenbrier Pkwy Ste a
Chesapeake, VA 23320-3822

Mailing address

212 Twin Fern CT
Virginia Beach, VA 23462-4563
Phone (319) 621-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ches@deweywillisdds.com Direct

National Provider Directory

National Provider Directory

Locations

801 Greenbrier Pkwy
Ste A
Chesapeake, VA 23320
Phone (757) 547-3003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1366177016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 TWIN FERN CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624563",
            "telephone_number": "319-621-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GREENBRIER PKWY STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203822",
            "telephone_number": "757-547-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY A. HALEY, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-621-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": "ches@deweywillisdds.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 Greenbrier Pkwy Ste A",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233203822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.