Organization Active NPI

Atlantic Dental Care PLC

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1679238240
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ATLANTIC DENTAL CARE PLC
Practice address
1300 Kempsville Rd Ste 1
Virginia Beach, VA 23464-6199
Phone
(757) 467-8181
Fax
(800) 879-3455
NPI assigned
Nov 8, 2021
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Estelito Moreno Santos, DDSNPI 1407922644
Title
Owner
Phone
(757) 944-1793

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1300 Kempsville Rd Ste 1
Virginia Beach, VA 23464-6199

Mailing address

1300 Kempsville Rd Ste 1
Virginia Beach, VA 23464-6199
Phone (757) 467-8181

Other identifiers 2

IdentifierTypeStateIssuer
1194750596OtherNPPES
1922033380OtherNPPES

Other names 1

  • Santos Dental Health & Wellness Inc. Doing business as

National Provider Directory

National Provider Directory

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1679238240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 KEMPSVILLE RD STE 1",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646199",
            "telephone_number": "757-467-8181",
            "fax_number": "800-879-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 KEMPSVILLE RD STE 1",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646199",
            "telephone_number": "757-467-8181",
            "fax_number": "800-879-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DENTAL CARE PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE PLC",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ESTELITO",
        "authorized_official_middle_name": "MORENO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-944-1793",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1194750596",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1922033380",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santos Dental Health & Wellness Inc.",
            "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 Nov 8, 2021; 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.