Organization Active NPI

Good Neighbor Dental at Edinburgh

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1528457488
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007257 Issued in VA
Legal business name
GOOD NEIGHBOR DENTAL AT EDINBURGH
Doing business as
Good Neighbor Dental
Practice address
236 Carmichael Way
Suite 312
Chesapeake, VA 23322-2185
Phone
(757) 932-5200
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Ms. Sheryl Anne Brown
Title
Director of Operations
Phone
(757) 784-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401007257 VA Primary

Addresses

Primary practice location

236 Carmichael Way
Suite 312
Chesapeake, VA 23322-2185

Mailing address

236 Carmichael Way
Suite 312
Chesapeake, VA 23322-2185
Phone (757) 932-5200

Other names 1

  • Good Neighbor Dental Doing business as

National Provider Directory

National Provider Directory

Locations

236 Carmichael Way
Ste 312
Chesapeake, VA 23322
Phone (757) 932-5200

Practitioners & affiliated clinicians

Practitioners 1

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": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1528457488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 CARMICHAEL WAY",
            "address_2": "SUITE 312",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222185",
            "telephone_number": "757-932-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CARMICHAEL WAY",
            "address_2": "SUITE 312",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222185",
            "telephone_number": "757-932-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR DENTAL AT EDINBURGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "757-784-8070",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Neighbor Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.