Active NPI
Soft Palate Dentistry
- Pediatric Dentistry
- Norfolk, VA
National Provider Identifier
1770023210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.