Active NPI
Randy James Eberly, D. M. D.
- Pediatric Dentistry
- Norfolk, VA
National Provider Identifier
1639170566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401007838
- Practice address
- 801 W Little Creek Rd
Suite 101
Norfolk, VA 23505-2036 - Phone
- (757) 423-3029
- NPI assigned
- Aug 2, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401007838 | VA | Primary |
Addresses
Primary practice location
801 W Little Creek Rd
Suite 101
Norfolk, VA 23505-2036
Mailing address
801 W Little Creek Rd
Suite 101
Norfolk, VA 23505-2036
Phone (757) 423-3029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401007838 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639170566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W LITTLE CREEK RD",
"address_2": "SUITE 101",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235052036",
"telephone_number": "757-423-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W LITTLE CREEK RD",
"address_2": "SUITE 101",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235052036",
"telephone_number": "757-423-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERLY",
"first_name": "RANDY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D. M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401007838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
- Eastern Virginia Medical School
- Eastern Virginia Medical School
- Eastern Virginia Pediatric Associates (A Division of Atlantic Dental Care)
- Eastern Virginia Pediatric Dentistry (A Division of Atlantic Dental Care)
- Easy Way Medical Transportation Service
- Jasen M Eberz, LCSW
- Eckerd Corporation (Rite Aid Pharmacy 11277)
- Eckerd Corporation (Rite Aid Pharmacy 11281)
- Eckerd Corporation (Rite Aid Pharmacy 11282)
- Eckerd Corporation (Rite Aid Pharmacy 11278)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.