NPIMap

Organization Active NPI

Virginia Department of Health

Doing business as Hampton Health Department Dental Clinic

  • Public Health Dentistry
  • Hampton, VA
National Provider Identifier
1407971864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
0401005262 Issued in VA
Legal business name
VIRGINIA DEPARTMENT OF HEALTH
Doing business as
Hampton Health Department Dental Clinic
Practice address
1320 Lasalle Ave
Hampton, VA 23669-3801
Phone
(757) 727-1140
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Len Reaves I, DDS
Title
Dentist
Phone
(757) 727-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 0401005262 VA Primary

Addresses

Primary practice location

1320 Lasalle Ave
Hampton, VA 23669-3801

Mailing address

3130 Victoria Blvd
Hampton, VA 23661-1544
Phone (757) 727-1172

Other names 1

  • Hampton Health Department Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dickenson Co Health Dep163 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407971864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 VICTORIA BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611544",
            "telephone_number": "757-727-1172",
            "fax_number": "757-727-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 LASALLE AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236693801",
            "telephone_number": "757-727-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-727-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "VA",
            "license": "0401005262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Health Department Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.