Active NPI
Stephanie Henahan, DMD
- Pediatric Dentistry
- Chesapeake, VA
National Provider Identifier
1700456183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401418451
- Practice address
- 350 Johnstown Rd Ste C
Chesapeake, VA 23322-5365 - Phone
- (757) 482-4777
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0442000433 | VA | |
| Pediatric Dentistry | 1223P0221X | 0401418451 | VA | Primary |
Addresses
Primary practice location
350 Johnstown Rd Ste C
Chesapeake, VA 23322-5365
Mailing address
350 Johnstown Rd Ste C
Chesapeake, VA 23322-5365
Phone (757) 482-4777
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 |
|---|---|---|---|
| 0442000433 | VA | MD | Dentist |
| 0401418451 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidal Smiles Pediatric Dentistry PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Gail V. Plauka, D.M.D., P.C. | Pediatric Dentistry | Past | Accepting new patients |
Locations
350 Johnstown Rd
Ste C
Chesapeake, VA 23322
Phone (757) 482-4777
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Chesapeake, VA
- NPI 1548782873
-
- Pediatric Dentistry
- Chesapeake, VA
- NPI 1437216959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1700456183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 JOHNSTOWN RD STE C",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233225365",
"telephone_number": "757-482-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 JOHNSTOWN RD STE C",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233225365",
"telephone_number": "757-482-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENAHAN",
"first_name": "STEPHANIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0442000433",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401418451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Helping Angels Home Health Care, Inc.
- Helping Hands Community Services
- Helping Hands Therapy Services PLLC
- Hematology Oncology Associates of Tide Water PC
- Luke Tomoya Hemric
- Annabelle Maria Hence
- Stephanie Michelle Renea Henderson, LPC
- Janell Hendley, MS,CCC-SLP
- Bryan P Hendrick, PA
- Carnell Hendrick, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.