Active NPI
Virginia Beach Family Dental PLLC
- General Practice Dentistry
- Virginia Beach, VA
National Provider Identifier
1801677331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Ivor, VA
- NPI 1710259429
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
- Virginia Beach Dermatology Associates PLLC
- Virginia Beach Dermatoloty Ass.
- Virginia Beach Diagnostics, LLC
- Virginia Beach Eye Center PC
- Virginia Beach Eye Center, PC
- Virginia Beach Holistic Clinic PC
- Virginia Beach Ketamine & Wellness
- Virginia Beach Life Care Corp
- Virginia Beach Medical Associates, PLC
- Virginia Beach Mercy Dental Clinic
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.