Active NPI
Tracy S Oliver DDS PC
- Dentist
- Virginia Beach, VA
National Provider Identifier
1730425919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 401007137
- 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
- Dec 17, 2012
- Organization subpart
- Yes
- Parent organization
- ATLANTIC DENTAL CARE, PLC
NPPES NPI Registry
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
- Phone
- (757) 471-5480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 401007137 | 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
Other names 1
- a division of Atlantic Dental Care
National Provider Directory
National Provider Directory- Part of
- Melvin E Cruser III DDS
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.
-
- Dentist
- Virginia Beach, VA
- NPI 1831434711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Virginia Beach, VA
- NPI 1780988857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355702400000",
"number": "1730425919",
"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": "YES",
"parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DENTIST",
"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": "401007137",
"primary": true
}
],
"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 17, 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.