Individual provider Active NPI

Mary A. Haley, DDS

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1437355369
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411869 Issued in VA
Practice address
801 Greenbrier Pkwy Ste a
Chesapeake, VA 23320-3822
Phone
(757) 547-3003
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411869 VA 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824001848 VA Order and Referring Only - DentistPractitioner - Dentist 3678845773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401411869VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mary a. Haley, D.D.S., PLLC CurrentSince Oct 16, 2022 Accepting new patients
DRS. Kail & Cox, Inc. General Practice Past Accepting new patients
Lovell Family Dentistry, PC General Practice Past Accepting new patients

Locations

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1437355369",
    "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": {
        "last_name": "HALEY",
        "first_name": "MARY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-10-10",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.