NPIMap

Organization Active NPI

DRS Bussey Mayo Archer LTD

  • Endodontics
  • Chesapeake, VA
National Provider Identifier
1689754277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401004066 Issued in VA
Legal business name
DRS BUSSEY MAYO ARCHER LTD
Practice address
2995 Churchland Blvd
Chesapeake, VA 23321
Phone
(757) 483-2167
Fax
(757) 483-9320
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Shandale Marie Gregory
Title
Billing Financial Coordinator
Phone
(757) 486-5155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 0401004066 VA Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 0401007693 VA

Addresses

Primary practice location

2995 Churchland Blvd
Chesapeake, VA 23321

Mailing address

2995 Churchland Blvd
Chesapeake, VA 23321
Phone (757) 483-2167

National Provider Directory

National Provider Directory
Tax ID family
DRS Bussey Mayo Archer LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2995 Churchland Blvd
Chesapeake, VA 23321
Phone (757) 483-2167

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689754277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 CHURCHLAND BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23321",
            "telephone_number": "757-483-2167",
            "fax_number": "757-483-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 CHURCHLAND BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23321",
            "telephone_number": "757-483-2167",
            "fax_number": "757-483-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS BUSSEY MAYO ARCHER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "SHANDALE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "757-486-5155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401004066",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401007693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.