NPIMap

Organization Active NPI

Ideal Smiles Family & Cosmetic Dentistry

  • Dental Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1508403155
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IDEAL SMILES FAMILY & COSMETIC DENTISTRY
Practice address
367 Independence Blvd
Virginia Beach, VA 23462-2822
Phone
(757) 962-7000
Fax
(757) 962-9335
NPI assigned
Dec 3, 2019
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. Shabana Zahir, DMDNPI 1467784009
Title
Dentist
Phone
(757) 962-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

367 Independence Blvd
Virginia Beach, VA 23462-2822

Mailing address

367 Independence Blvd
Virginia Beach, VA 23462-2822
Phone (757) 962-7000

Other names 1

  • A division of Atlantic Dental Care Other name

National Provider Directory

National Provider Directory
Tax ID family
A Division of Atlantic Dental Care2 organizations share this tax ID, including this one
Part of
Melvin E Cruser III DDS

Other organizations with this tax ID 1

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

Locations

367 Independence Blvd
Virginia Beach, VA 23462
Phone (757) 962-7000

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1508403155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622822",
            "telephone_number": "757-962-7000",
            "fax_number": "757-962-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622822",
            "telephone_number": "757-962-7000",
            "fax_number": "757-962-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SMILES FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "ZAHIR",
        "authorized_official_first_name": "SHABANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-962-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A division of Atlantic Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 3, 2019; 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.