NPIMap

Organization Active NPI

Michael L Kahan, DDS, PC

Doing business as a division of Atlantic Dental Care

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1508101916
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6364 Issued in VA
Legal business name
MICHAEL L KAHAN, DDS, PC
Doing business as
a division of Atlantic Dental Care
Practice address
2129 General Booth Blvd
Suite 117
Virginia Beach, VA 23454-5872
Phone
(757) 563-8000
Fax
(757) 563-2077
NPI assigned
Dec 11, 2012
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. Michael L Kahan, DDSNPI 1700976669
Title
Dentist
Phone
(757) 563-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6364 VA Primary

Addresses

Primary practice location

2129 General Booth Blvd
Suite 117
Virginia Beach, VA 23454-5872

Mailing address

2129 General Booth Blvd
Suite 117
Virginia Beach, VA 23454-5872
Phone (757) 563-8000

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Tracy S Oliver DDS PC

Locations

2129 General Booth Blvd
Ste 117
Virginia Beach, VA 23454
Phone (757) 509-2492

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1508101916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 GENERAL BOOTH BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545872",
            "telephone_number": "757-563-8000",
            "fax_number": "757-563-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 GENERAL BOOTH BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545872",
            "telephone_number": "757-563-8000",
            "fax_number": "757-563-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L KAHAN, DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "KAHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-563-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "6364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.