Active NPI
City of Newport News
- Public Health or Welfare Agency
- Newport News, VA
National Provider Identifier
1609274836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- CITY OF NEWPORT NEWS
- Doing business as
- City of Newport News Dental Clinic
- Practice address
- 416 J Clyde Morris Blvd
Newport News, VA 23601-1927 - Phone
- (757) 933-2369
- NPI assigned
- Dec 22, 2014
- 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
- Mr. Peter D Vansickels, DDS
- Title
- Dentist
- Phone
- (757) 933-2369
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
416 J Clyde Morris Blvd
Newport News, VA 23601-1927
Mailing address
416 J Clyde Morris Blvd
Newport News, VA 23601-1927
Phone (757) 933-2369
Other names 1
- City of Newport News Dental Clinic
National Provider Directory
National Provider Directory- Tax ID family
- City of Newport News
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Newport News, VA
- NPI 1215987276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420588800000",
"number": "1609274836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011927",
"telephone_number": "757-933-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011927",
"telephone_number": "757-933-2369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF NEWPORT NEWS",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-22",
"last_updated": "2015-01-07",
"status": "A",
"authorized_official_last_name": "VANSICKELS",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "757-933-2369",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Newport News Dental Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.