NPIMap

Organization Active NPI

Prime Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gloucester, VA
National Provider Identifier
1578393146
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PRIME ORTHODONTICS PLLC
Practice address
6750 Main St
Gloucester, VA 23061-5517
Phone
(757) 327-4843
Fax
(757) 234-8891
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIME ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Chris L Cannon
Title
RCM
Phone
(757) 327-4843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

6750 Main St
Gloucester, VA 23061-5517

Mailing address

6750 Main St
Gloucester, VA 23061-5517
Phone (757) 327-4843

National Provider Directory

National Provider Directory
Tax ID family
Prime Orthodontics PLLC8 organizations share this tax ID, including this one
Part of
Prime Orthodontics PLLC

Other organizations with this tax ID 7

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

Locations

6750 Main St
Gloucester, VA 23061
Phone (804) 695-2575

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1578393146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615517",
            "telephone_number": "757-327-4843",
            "fax_number": "757-234-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615517",
            "telephone_number": "757-327-4843",
            "fax_number": "757-234-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ORTHODONTICS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME ORTHODONTICS",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "757-327-4843"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.