NPIMap

Organization Active NPI

Steve a Gwaltney, DDS PC

  • Dentist
  • Suffolk, VA
National Provider Identifier
1750833182
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401006166 Issued in VA
Legal business name
STEVE A GWALTNEY, DDS PC
Practice address
2486 Pruden Blvd
Suffolk, VA 23434-4206
Phone
(757) 539-3021
NPI assigned
Nov 2, 2016
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE,PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Dr. Steve A Gwaltney, DDSNPI 1083626030
Title
Dentist
Phone
(757) 539-3021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401006166 VA Primary

Addresses

Primary practice location

2486 Pruden Blvd
Suffolk, VA 23434-4206

Mailing address

2486 Pruden Blvd
Suffolk, VA 23434-4206
Phone (757) 539-3021

Other names 1

  • Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Melvin E Cruser III DDS

Locations

2486 Pruden Blvd
Suffolk, VA 23434
Phone (757) 537-4221

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1750833182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344206",
            "telephone_number": "757-539-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344206",
            "telephone_number": "757-539-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE A GWALTNEY, DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE,PLC",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "GWALTNEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-539-3021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.