Adrian M Laxa, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401411841 Issued in VA

Practice address

4540 Princess Anne Rd
Suite 101
Virginia Beach, VA 23462

Phone

(757) 497-0450

Fax

(757) 497-6137

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adrian M. Laxa, DDS, PC

  dba A Division of Atlantic Dental Care, PLC

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1306314885
  NPD (past) Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1831395623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 PRINCESS ANNE RD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-497-0450",
            "fax_number": "757-497-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 PRINCESS ANNE RD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-497-0450",
            "fax_number": "757-497-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAXA",
        "first_name": "ADRIAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411841",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith P Lawson, PTA
• Joseph L. Lawson, ABC/BOC ORTHOTIST
• Lindsey Marie Lawson, MS, CCC-SLP
• Samantha Lawson, CNM, WHNP, PMHNP-BC
• Stacy Lawton, CPNP
• Kaila Nicole Laxa, LPC, PHD, MA
• Jaclyn Danielle Layman, M.S. CCC-SLP
• Heidi Joy Lazos, AGNP
• LDG - Virginia Beach, PLLC (Lighthouse Dental Group)
• Le Hew Chiropractic and Acupuncture Inc

• Dentist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.