NPIMap

Organization Active NPI

Tracy S Oliver DDS PC

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1710134101
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7137 Issued in VA
Legal business name
TRACY S OLIVER DDS PC
Practice address
2484 N Landing Rd
Virginia Beach, VA 23456-3405
Phone
(757) 471-5480
Fax
(757) 471-7859
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Tracy S Oliver, DDS
Title
Dentist/Owner
Phone
(757) 471-5480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7137 VA Primary

Addresses

Primary practice location

2484 N Landing Rd
Virginia Beach, VA 23456-3405

Mailing address

2484 N Landing Rd
Virginia Beach, VA 23456-3405
Phone (757) 471-5480

National Provider Directory

National Provider Directory
Tax ID family
Melvin E Cruser III DDS14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2484 North Landing Rd
Virginia Beach, VA 23456
Phone (757) 471-5480

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": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1710134101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 N LANDING RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563405",
            "telephone_number": "757-471-5480",
            "fax_number": "757-471-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 N LANDING RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563405",
            "telephone_number": "757-471-5480",
            "fax_number": "757-471-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY S OLIVER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "757-471-5480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "7137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 5, 2015; 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.