Organization Active NPI

Virginia Beach Dermatoloty Ass.

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1801975271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101033623 Issued in VA
Legal business name
VIRGINIA BEACH DERMATOLOTY ASS.
Practice address
5320 Providence Rd Ste 202
Virginia Beach, VA 23464-4122
Phone
(757) 523-4800
Fax
(757) 523-5857
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arnold R Oppenheim, M.D.NPI 1649356940
Title
Physician
Phone
(757) 523-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101033623 VA Primary

Addresses

Primary practice location

5320 Providence Rd Ste 202
Virginia Beach, VA 23464-4122

Mailing address

5320 Providence Rd Ste 202
Virginia Beach, VA 23464-4122
Phone (757) 523-4800

National Provider Directory

National Provider Directory

Locations

933 First Colonial Rd
Ste 114
Virginia Bch, VA 23454

5320 Providence Rd
Virginia Beach, VA 23464
Phone (757) 413-7600

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": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801975271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 PROVIDENCE RD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644122",
            "telephone_number": "757-523-4800",
            "fax_number": "757-523-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 PROVIDENCE RD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644122",
            "telephone_number": "757-523-4800",
            "fax_number": "757-523-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH DERMATOLOTY ASS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-523-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101033623",
            "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 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.

Verify at the official NPI Registry.