NPIMap

Organization Active NPI

The Center for Restorative Cosmetic & Implant Dentistry

  • Dentist
  • VA Beach, VA
National Provider Identifier
1740320241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THE CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY
Practice address
303 35TH St
#103
VA Beach, VA 23451
Phone
(757) 425-2332
Fax
(757) 428-8561
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Brenda Lyon Shaughnessy
Title
Office Manager
Phone
(757) 425-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

303 35TH St
#103
VA Beach, VA 23451

Mailing address

303 35TH St
#103
VA Beach, VA 23451
Phone (757) 425-2332

National Provider Directory

National Provider Directory

Locations

303 35th St
Ste 103
Va Beach, VA 23451
Phone (757) 425-2332

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740320241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 35TH ST",
            "address_2": "#103",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "23451",
            "telephone_number": "757-425-2332",
            "fax_number": "757-428-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 35TH ST",
            "address_2": "#103",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "23451",
            "telephone_number": "757-425-2332",
            "fax_number": "757-428-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAUGHNESSY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-425-2332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in VA Beach, VA

Sources for this page

  • 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.