Organization Active NPI

Isle of Wight Family and Cosmetic Dentistry, P.C.

  • General Practice Dentistry
  • Smithfield, VA
National Provider Identifier
1831361419
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411511 Issued in VA
Legal business name
ISLE OF WIGHT FAMILY AND COSMETIC DENTISTRY, P.C.
Practice address
200 Gumwood Dr.
Building 1
Smithfield, VA 23430-1103
Phone
(757) 356-1212
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Jennifer F Howard, D.D.S.
Title
President
Phone
(757) 356-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401411511 VA Primary

Addresses

Primary practice location

200 Gumwood Dr.
Building 1
Smithfield, VA 23430-1103

Mailing address

200 Gumwood Dr.
Building 1
Smithfield, VA 23430-1103
Phone (757) 356-1212

Other identifiers 1

IdentifierTypeStateIssuer
113284MedicaidVA

National Provider Directory

National Provider Directory

Locations

200 Gumwood Dr
Bldg 1
Smithfield, VA 23430
Phone (757) 356-1212

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": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1831361419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GUMWOOD DR.",
            "address_2": "BUILDING 1",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301103",
            "telephone_number": "757-356-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GUMWOOD DR.",
            "address_2": "BUILDING 1",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301103",
            "telephone_number": "757-356-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLE OF WIGHT FAMILY AND COSMETIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-356-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113284",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.