NPIMap

Organization Active NPI

J Dewey Willis III, D.D.S., P.C. & Assoc

  • Dentist
  • Chesapeake, VA
National Provider Identifier
1821147562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401005083 Issued in VA
Legal business name
J DEWEY WILLIS III, D.D.S., P.C. & ASSOC
Practice address
801 Greenbrier Pkwy
Chesapeake, VA 23320-3822
Phone
(757) 547-3003
NPI assigned
Jan 10, 2007
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. J Dewey Willis III, D.D.S.
Title
Dentist
Phone
(757) 873-3407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401005083 VA Primary

Addresses

Primary practice location

801 Greenbrier Pkwy
Chesapeake, VA 23320-3822

Mailing address

801 Greenbrier Pkwy
Chesapeake, VA 23320-3822
Phone (757) 547-3003

National Provider Directory

National Provider Directory
Tax ID family
J Dewey Willis III DDS PC Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

801 Greenbrier Pkwy
Chesapeake, VA 23320
Phone (757) 547-3003

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821147562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GREENBRIER PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203822",
            "telephone_number": "757-547-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GREENBRIER PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203822",
            "telephone_number": "757-547-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DEWEY WILLIS III, D.D.S., P.C. & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "DEWEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-873-3407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, 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.