NPIMap

Organization Active NPI

Eastern Virginia Pediatric Dentistry

Doing business as A Division of Atlantic Dental Care

  • Pediatric Dentistry
  • Norfolk, VA
National Provider Identifier
1790297604
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401008103 Issued in VA
Legal business name
EASTERN VIRGINIA PEDIATRIC DENTISTRY
Doing business as
A Division of Atlantic Dental Care
Practice address
1806 Hampton Blvd Ste a
Norfolk, VA 23517-1682
Phone
(757) 627-7550
Fax
(757) 627-2634
NPI assigned
Nov 1, 2017
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Pamela Ann Morgan, DDSNPI 1255445342
Title
Dentist
Phone
(757) 627-7550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 0401008103 VA Primary

Addresses

Primary practice location

1806 Hampton Blvd Ste a
Norfolk, VA 23517-1682

Mailing address

1806 Hampton Blvd Ste a
Norfolk, VA 23517-1682
Phone (757) 627-7550

Other names 1

  • A Division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Division of Atlantic Dental Care2 organizations share this tax ID, including this one
Part of
Tracy S Oliver DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1806 Hampton Blvd
Ste A
Norfolk, VA 23517
Phone (757) 627-7550

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1790297604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 HAMPTON BLVD STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171682",
            "telephone_number": "757-627-7550",
            "fax_number": "757-627-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 HAMPTON BLVD STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171682",
            "telephone_number": "757-627-7550",
            "fax_number": "757-627-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN VIRGINIA PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-627-7550",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401008103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 1, 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.