Organization Active NPI

David Throckmorton Jr.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1649601444
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411064 Issued in VA
Legal business name
DAVID THROCKMORTON JR.
Doing business as
a division of Atlantic Dental Care
Practice address
3720 Holland Rd
Ste. 102
Virginia Beach, VA 23452-2859
Phone
(757) 498-1663
Fax
(757) 961-8760
NPI assigned
Dec 3, 2013
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. David Throckmorton, DDS
Title
Dentist
Phone
(757) 498-1663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401411064 VA Primary

Addresses

Primary practice location

3720 Holland Rd
Ste. 102
Virginia Beach, VA 23452-2859

Mailing address

3720 Holland Rd
Ste 102
Virginia Beach, VA 23452-2859
Phone (757) 498-1663

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Melvin E Cruser III DDS

Locations

3720 Holland Rd
Ste 102
Virginia Beach, VA 23452
Phone (757) 481-6447

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1649601444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 HOLLAND RD",
            "address_2": "STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522859",
            "telephone_number": "757-498-1663",
            "fax_number": "757-961-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 HOLLAND RD",
            "address_2": "STE. 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522859",
            "telephone_number": "757-498-1663",
            "fax_number": "757-961-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID THROCKMORTON JR.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "THROCKMORTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-498-1663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.