Organization Active NPI

Thimble Shoals Dental Center

  • General Practice Dentistry
  • Newport News, VA
National Provider Identifier
1730336033
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411261 Issued in VA
Legal business name
THIMBLE SHOALS DENTAL CENTER
Practice address
748 McGuire PL
B
Newport News, VA 23601-1674
Phone
(757) 310-6904
Fax
(757) 327-0307
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Ms. Amy D Ford
Title
Vice President of Operations
Phone
(757) 310-6904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401411261 VA Primary

Addresses

Primary practice location

748 McGuire PL
B
Newport News, VA 23601-1674

Mailing address

748 McGuire PL
B
Newport News, VA 23601-1674
Phone (757) 310-6904

National Provider Directory

National Provider Directory

Locations

748 McGuire Pl
Ste B
Newport News, VA 23601
Phone (757) 310-6904

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": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1730336033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MCGUIRE PL",
            "address_2": "B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011674",
            "telephone_number": "757-310-6904",
            "fax_number": "757-327-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MCGUIRE PL",
            "address_2": "B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011674",
            "telephone_number": "757-310-6904",
            "fax_number": "757-327-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIMBLE SHOALS DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "757-310-6904",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.