Active NPI
Mango Medical DPC
- Primary Care Clinic/Center
- Hampton, VA
National Provider Identifier
1548029580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MANGO MEDICAL DPC
- Practice address
- 23 S Mallory St Ste C
Hampton, VA 23663-1707 - Phone
- (757) 210-5959
- Fax
- (800) 313-5613
- NPI assigned
- Mar 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nzinga Teule-Hekima, MD
- Title
- MD/Ceo
- Phone
- (757) 210-5959
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
23 S Mallory St Ste C
Hampton, VA 23663-1707
Mailing address
23 S Mallory St Ste B
Hampton, VA 23663-1707
Phone (757) 210-5959
National Provider Directory
National Provider DirectoryLocations
23 S Mallory St
#B
Hampton, VA 23663
23 S Mallory St
#C
Hampton, VA 23663
Phone (757) 210-5959
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hampton, VA
- NPI 1851399901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1548029580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 S MALLORY ST STE B",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236631707",
"telephone_number": "757-210-5959",
"fax_number": "800-313-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 S MALLORY ST STE C",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236631707",
"telephone_number": "757-210-5959",
"fax_number": "800-313-5613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANGO MEDICAL DPC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-13",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A",
"authorized_official_last_name": "TEULE-HEKIMA",
"authorized_official_first_name": "NZINGA",
"authorized_official_title_or_position": "MD/CEO",
"authorized_official_telephone_number": "757-210-5959",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.