Organization Active NPI

Soft Palate Dentistry

  • Pediatric Dentistry
  • Norfolk, VA
National Provider Identifier
1770023210
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SOFT PALATE DENTISTRY
Practice address
1734 E Little Creek Rd
Norfolk, VA 23518-4202
Phone
(757) 651-2082
Fax
(407) 479-3846
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Ms. Trina B Collins, DDS
Title
Owner
Phone
(484) 226-7023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1734 E Little Creek Rd
Norfolk, VA 23518-4202

Mailing address

PO Box 14186
Norfolk, VA 23518-0186
Phone (757) 651-2082

National Provider Directory

National Provider Directory

Locations

1734 E Little Creek Rd
Norfolk, VA 23518
Phone (757) 651-2082

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1770023210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14186",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235180186",
            "telephone_number": "757-651-2082",
            "fax_number": "407-479-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 E LITTLE CREEK RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184202",
            "telephone_number": "757-651-2082",
            "fax_number": "407-479-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFT PALATE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-226-7023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.