NPIMap

Organization Active NPI

Gary Newell, DDS, Inc.

Doing business as A Division of Atlantic Dental Care

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1710223839
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10798 Issued in VA
Legal business name
GARY NEWELL, DDS, INC.
Doing business as
A Division of Atlantic Dental Care
Practice address
5333 Indian River Rd
Virginia Beach, VA 23464-5320
Phone
(757) 420-1507
Fax
(757) 424-7920
NPI assigned
Dec 18, 2012
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Carrie Clarkson, DDS
Title
Dentist
Phone
(757) 420-1507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10798 VA Primary
Dentist 122300000X 6412 VA

Addresses

Primary practice location

5333 Indian River Rd
Virginia Beach, VA 23464-5320

Mailing address

5333 Indian River Rd
Virginia Beach, VA 23464-5320
Phone (757) 420-1507

Other names 1

  • A Division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Division of Atlantic Dental Care2 organizations share this tax ID, including this one
Part of
Tracy S Oliver DDS PC

Other organizations with this tax ID 1

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

Locations

5333 Indian River Rd
Virginia Beach, VA 23464
Phone (757) 420-1507

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1710223839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 INDIAN RIVER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645320",
            "telephone_number": "757-420-1507",
            "fax_number": "757-424-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 INDIAN RIVER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645320",
            "telephone_number": "757-420-1507",
            "fax_number": "757-424-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY NEWELL, DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "CLARKSON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-420-1507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "10798",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "6412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Division of Atlantic Dental Care",
            "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 Dec 18, 2012; 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.