Nansemond Suffolk Oral Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NANSEMOND SUFFOLK ORAL CARE

Practice address

3940 Airline Blvd
Chesapeake, VA 23321-3329

Phone

(757) 465-4884

Fax

(757) 465-4884

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Wyatt M Ruffin Jr., DDSNPI 1033210943

Title

Owner President

Phone

(757) 465-4884

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Wyatt M Ruffin Jr Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wyatt M Ruffin Jr., DDS

  • Dentist
  • Chesapeake, VA
  • NPI 1033210943
  NPD (past) Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720159437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 AIRLINE BLVD",
            "address_2": "SUITE 114",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213329",
            "telephone_number": "757-465-4884",
            "fax_number": "757-465-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 AIRLINE BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213329",
            "telephone_number": "757-465-4884",
            "fax_number": "757-465-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANSEMOND SUFFOLK ORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUFFIN",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "757-465-4884",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7821743",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Wyatt M Ruffin Jr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Eric Nahl, LPC, LMFT
• Anil Nair, M.D.
• Rona Keiko Nakamoto, M.D.
• Benford Oliver Nance Jr., M.D.
• Miranda Nance, LCSW
• Edward Nash
• Morgan Nash
• Nasia'S Healing Wings Home Health, LLC
• National Birth Centers Inc
• National Optometry Steven Kasinof and 17 Associates Optometrists

• General Practice Dentistry in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• General Practice Dentistry in Virginia

• 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.