NPIMap

Organization Active NPI

Stephen a. Asam, D.D.S., P.C.

Doing business as a division of Atlantic Dental Care

  • Dentist
  • Chesapeake, VA
National Provider Identifier
1790021061
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7311 Issued in VA
Legal business name
STEPHEN A. ASAM, D.D.S., P.C.
Doing business as
a division of Atlantic Dental Care
Practice address
632 Cedar Rd
Suite a
Chesapeake, VA 23322-8376
Phone
(757) 436-3595
Fax
(757) 436-3596
NPI assigned
Dec 14, 2012
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, P.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Dr. Stephen A Asam, D.D.S.NPI 1558347922
Title
Dentist
Phone
(757) 436-3595

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 7311 VA Primary

Addresses

Primary practice location

632 Cedar Rd
Suite a
Chesapeake, VA 23322-8376

Mailing address

632 Cedar Rd
Suite a
Chesapeake, VA 23322-8376
Phone (757) 436-3595

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Melvin E Cruser III DDS

Locations

632 Cedar Rd
Ste A
Chesapeake, VA 23322
Phone (757) 436-3595

Practitioners & affiliated clinicians

Practitioners 1

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": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1790021061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 CEDAR RD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228376",
            "telephone_number": "757-436-3595",
            "fax_number": "757-436-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 CEDAR RD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228376",
            "telephone_number": "757-436-3595",
            "fax_number": "757-436-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. ASAM, D.D.S., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, P.L.C.",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "ASAM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-436-3595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "7311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 19, 2012; 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.