Active NPI
Earnest D Coalter Jr DDS PC
- General Practice Dentistry
- Virginia Beach, VA
National Provider Identifier
1790891760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- EARNEST D COALTER JR DDS PC
- Practice address
- 933 First Colonial Rd
Suite 104
Virginia Beach, VA 23454 - Phone
- (757) 491-8075
- Fax
- (757) 422-4236
- NPI assigned
- Aug 22, 2006
- 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
- Dr. Earnest Dean Coalter Jr., DDS
- Title
- President
- Phone
- (757) 491-8075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
933 First Colonial Rd
Suite 104
Virginia Beach, VA 23454
Mailing address
933 First Colonial Rd
Suite 104
Virginia Beach, VA 23454
Phone (757) 491-8075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003673 | Other | ANTHEM INS |
National Provider Directory
National Provider Directory- Tax ID family
- A Division of Atlantic Dental Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba a division of Atlantic Dental Care
- Dentist
- Virginia Beach, VA
- NPI 1699011866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790891760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 FIRST COLONIAL RD",
"address_2": "SUITE 104",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23454",
"telephone_number": "757-491-8075",
"fax_number": "757-422-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 FIRST COLONIAL RD",
"address_2": "SUITE 104",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23454",
"telephone_number": "757-491-8075",
"fax_number": "757-422-4236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EARNEST D COALTER JR DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COALTER",
"authorized_official_first_name": "EARNEST",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-491-8075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INS",
"identifier": "003673",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Angela Michelle Ealy, RN
- Eap Enterprises Inc
- Earl R Crouch Jr MD Facs PC (Virginia Pediatric Eye Center)
- Lucinda Lynn Earle, MPH, RDN
- Jemila Danielle Early, CSFA, LSA
- Earnest D. Coalter, Jr. DDS (a division of Atlantic Dental Care)
- Denaeya Patricia Easley, RBT
- Amber Eason, LCSW
- Cayla Danielle Eason
- Chatera Eason, LPN, BT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.