Individual provider Active NPI

Stephanie Henahan, DMD

  • Pediatric Dentistry
  • Chesapeake, VA
National Provider Identifier
1700456183
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401418451 Issued in VA
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

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0442000433VAMDDentist
0401418451VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidal Smiles Pediatric Dentistry PLLC Pediatric Dentistry CurrentSince Jun 11, 2023 Accepting new patients
Gail V. Plauka, D.M.D., P.C. Pediatric Dentistry PastSince Jun 11, 2023 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.

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

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.

Verify at the official NPI Registry.