Active NPI
Ghent Family Dentistry, LLC
- Dental Clinic/Center
- Norfolk, VA
National Provider Identifier
1396179743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 0401007333
- Legal business name
- GHENT FAMILY DENTISTRY, LLC
- Practice address
- 2200 Colonial Ave
Suite 12
Norfolk, VA 23517-1915 - Phone
- (757) 626-0633
- Fax
- (757) 626-0003
- NPI assigned
- Aug 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth F Cauthen
- Title
- Owner
- Phone
- (757) 626-0633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 0401007333 | VA | Primary |
Addresses
Primary practice location
2200 Colonial Ave
Suite 12
Norfolk, VA 23517-1915
Mailing address
2200 Colonial Ave
Suite 12
Norfolk, VA 23517-1915
Phone (757) 626-0633
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377043200000",
"number": "1396179743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COLONIAL AVE",
"address_2": "SUITE 12",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171915",
"telephone_number": "757-626-0633",
"fax_number": "757-626-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 COLONIAL AVE",
"address_2": "SUITE 12",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171915",
"telephone_number": "757-626-0633",
"fax_number": "757-626-0003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHENT FAMILY DENTISTRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A",
"authorized_official_last_name": "CAUTHEN",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-626-0633"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "VA",
"license": "0401007333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.