Virginia Orthodontic Specialist

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401004032 Issued in VA

Legal business name

VIRGINIA ORTHODONTIC SPECIALIST

Practice address

2101 Executive Dr Ste 5E
Hampton, VA 23666-2415

Phone

(757) 826-8511

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Alexander Waitkus, DDS, MS

Title

Doctor

Phone

(757) 826-8511

Specialties & licenses 1

Addresses

Tax ID family

Virginia Orthodontic Sepcialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Virginia Orthodontic Sepcialist

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Virginia Beach, VA
  • NPI 1205045648
  NPD tax ID

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497957286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EXECUTIVE DR STE 5E",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662415",
            "telephone_number": "757-826-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 EXECUTIVE DR STE 5E",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662415",
            "telephone_number": "757-826-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA ORTHODONTIC SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAITKUS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "757-826-8511",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401004032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Department of Health
• Virginia Department of Health
• Virginia Health Services, Inc
• Virginia Health Services, Inc.
• Virginia Oncology Associates
• Virginiacare Physician Group, LLC
• Virtuous Caregivers LLC
• Michelle Anne Visconti, RN
• Visionworks Inc.
• Alexandra Marie Viso, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Hampton, VA
• Providers in Hampton, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• 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.