NPIMap

Organization Active NPI

Atlantic Dental Care, PLC

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1831434711
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ATLANTIC DENTAL CARE, PLC
Practice address
737 Little Neck Rd
Virginia Beach, VA 23452-5813
Phone
(757) 486-4469
Fax
(757) 961-6882
NPI assigned
Dec 4, 2012
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Dr. Clayborn Hendricks, D.D.S.
Title
Chairman
Phone
(757) 486-4469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

737 Little Neck Rd
Virginia Beach, VA 23452-5813

Mailing address

737 Little Neck Rd
Virginia Beach, VA 23452-5813
Phone (757) 486-4469

National Provider Directory

National Provider Directory
Tax ID family
Tracy S Oliver DDS PC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

Subparts reporting this organization as parent 93

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 93

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1831434711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 LITTLE NECK RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525813",
            "telephone_number": "757-486-4469",
            "fax_number": "757-961-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 LITTLE NECK RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525813",
            "telephone_number": "757-486-4469",
            "fax_number": "757-961-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DENTAL CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CLAYBORN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "757-486-4469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "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 Dec 4, 2012; 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.