Peninsula Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7301 Issued in VA

Legal business name

PENINSULA ORTHODONTICS, PC

Practice address

401 Oyster Point Rd
Suite D
Newport News, VA 23602-6926

Phone

(757) 249-4203

Fax

(757) 249-4208

NPI assigned

Mar 31, 2011

Last updated

Mar 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vicki Ross, DMD

Title

President

Phone

(757) 249-4203

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judy R Lynch, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newport News, VA
  • NPI 1073651451
  NPD (past)
• Steven Anson Reese, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newport News, VA
  • NPI 1679615397
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1760771679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OYSTER POINT RD",
            "address_2": "SUITE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026926",
            "telephone_number": "757-249-4203",
            "fax_number": "757-249-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OYSTER POINT RD",
            "address_2": "SUITE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026926",
            "telephone_number": "757-249-4203",
            "fax_number": "757-249-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-249-4203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "7301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Institute for Community Health Inc (Stoneybrook Physicians)
• Peninsula Institute for Community Health Inc (48th Street Physicians)
• Peninsula Institute for Community Health Inc (Warwick Boulevard Physicians)
• Peninsula Institute for Community Health Inc (East End Physicians)
• Peninsula Neurology LTD
• Peninsula Pain and Rehabilitation Center, Inc.
• Peninsula Pastoral Counseling Center Inc. (Peninsula Pastoral Counseling Center)
• Peninsula Pathology Associates Incorporated
• Peninsula Pathology Associates of Virginia PLLC
• Peninsula Pediatric Dentistry, P.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Newport News, VA
• Providers in Newport News, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.