Active NPI
Vacendak Dentistry, PLLC
- General Practice Dentistry
- Chesapeake, VA
National Provider Identifier
1750718177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- VACENDAK DENTISTRY, PLLC
- Practice address
- 701 Quince Place
Chesapeake, VA 23320 - Phone
- (757) 609-3510
- NPI assigned
- Sep 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Vacendak
- Title
- President
- Phone
- (757) 609-3510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
701 Quince Place
Chesapeake, VA 23320
Mailing address
701 Quince Place
Chesapeake, VA 23320
National Provider Directory
National Provider DirectoryLocations
701 Quince Pl
Chesapeake, VA 23320
Phone (757) 609-3510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380499200000",
"number": "1750718177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 QUINCE PLACE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 QUINCE PLACE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-609-3510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VACENDAK DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A",
"authorized_official_last_name": "VACENDAK",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-609-3510"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.