NPIMap

Organization Active NPI

Partners in Dental Health II

  • General Practice Dentistry
  • Norfolk, VA
National Provider Identifier
1720237811
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401005418 Issued in VA
Legal business name
PARTNERS IN DENTAL HEALTH II
Practice address
738 E Bayview Blvd
Ste 3
Norfolk, VA 23503-5447
Phone
(757) 588-1563
Fax
(757) 962-5318
NPI assigned
Sep 12, 2008
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Keenan M Davis, DDS
Title
Partner
Phone
(757) 588-1563

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411811 VA
General Practice Dentistry 1223G0001X 0401006401 VA
General Practice Dentistry 1223G0001X 0401005418 VA Primary
Prosthodontics 1223P0700X 0401008797 VA

Addresses

Primary practice location

738 E Bayview Blvd
Ste 3
Norfolk, VA 23503-5447

Mailing address

738 E Bayview Blvd
Ste 3
Norfolk, VA 23503-5447
Phone (757) 588-1563

Other identifiers 1

IdentifierTypeStateIssuer
1975530OtherVAUCCI

National Provider Directory

National Provider Directory

Locations

738 E Bayview Blvd
Ste 3
Norfolk, VA 23503
Phone (757) 588-1563

7923 Halprin Dr
Norfolk, VA 23518
Phone (757) 587-0874

2245 W Great Neck Rd
Virginia Beach, VA 23451
Phone (757) 755-1924

Practitioners & affiliated clinicians

Practitioners 6

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": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1720237811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 E BAYVIEW BLVD",
            "address_2": "STE 3",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235035447",
            "telephone_number": "757-588-1563",
            "fax_number": "757-962-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 E BAYVIEW BLVD",
            "address_2": "STE 3",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235035447",
            "telephone_number": "757-588-1563",
            "fax_number": "757-962-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN DENTAL HEALTH II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEENAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "757-588-1563",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411811",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006401",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005418",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401008797",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "1975530",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.