Organization Active NPI

Virginia Beach Family Dental PLLC

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1801677331
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VIRGINIA BEACH FAMILY DENTAL PLLC
Practice address
1658 Pleasure House Rd Ste 106
Virginia Beach, VA 23455-4051
Phone
(757) 383-8970
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Maritza Medina
Title
Office Manager
Phone
(757) 451-7003

Specialties & licenses 1

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

Addresses

Primary practice location

1658 Pleasure House Rd Ste 106
Virginia Beach, VA 23455-4051

Mailing address

1658 Pleasure House Rd Ste 106
Virginia Beach, VA 23455-4051

National Provider Directory

National Provider Directory

Locations

1658 Pleasure House Rd
Ste 106
Virginia Beach, VA 23455
Phone (757) 383-8970

1658 Pleasure House Rd
Ste 105
Virginia Beach, VA 23455
Phone (757) 464-1964

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1801677331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 PLEASURE HOUSE RD STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 PLEASURE HOUSE RD STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554051",
            "telephone_number": "757-383-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-451-7003"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 2023; 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.