Individual provider Active NPI

Sheryl Brown

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1821479726
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007257 Issued in VA
Practice address
2865 Lynnhaven Dr
Suite C-4
Virginia Beach, VA 23451-1542
Phone
(757) 481-3000
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007257 VA Primary

Addresses

Primary practice location

2865 Lynnhaven Dr
Suite C-4
Virginia Beach, VA 23451-1542

Mailing address

2865 Lynnhaven Dr
Suite C-4
Virginia Beach, VA 23451-1542
Phone (757) 481-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401007257VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Good Neighbor Dental at Great Neck Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1821479726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 LYNNHAVEN DR",
            "address_2": "SUITE C-4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511542",
            "telephone_number": "757-481-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 LYNNHAVEN DR",
            "address_2": "SUITE C-4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511542",
            "telephone_number": "757-481-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007257",
            "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 Jun 16, 2015; 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.