Organization Active NPI

Good Neighbor Dental at Red Mill

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1790174654
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007257 Issued in VA
Legal business name
GOOD NEIGHBOR DENTAL AT RED MILL
Doing business as
Good Neighbor Dental
Practice address
2133 Upton Dr
Suite 120
Virginia Beach, VA 23454-1193
Phone
(757) 563-9111
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Ms. Sheryl Anne Brown
Title
Director of Operations
Phone
(757) 784-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401007257 VA Primary

Addresses

Primary practice location

2133 Upton Dr
Suite 120
Virginia Beach, VA 23454-1193

Mailing address

2133 Upton Dr
Suite 120
Virginia Beach, VA 23454-1193
Phone (757) 563-9111

Other names 1

  • Good Neighbor Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2133 Upton Dr
Ste 120
Virginia Beach, VA 23454
Phone (757) 563-9111

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1790174654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 UPTON DR",
            "address_2": "SUITE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541193",
            "telephone_number": "757-563-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 UPTON DR",
            "address_2": "SUITE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541193",
            "telephone_number": "757-563-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR DENTAL AT RED MILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "757-784-8070",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Neighbor Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.