NPIMap

Organization Active NPI

TDT Oms

Doing business as Hampton Roads Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Newport News, VA
National Provider Identifier
1831476886
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
TDT OMS
Doing business as
Hampton Roads Oral and Maxillofacial Surgery
Practice address
716 Denbigh Blvd
Suite C1
Newport News, VA 23608-4414
Phone
(757) 874-6501
NPI assigned
Nov 4, 2011
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Ronald L Tankersley, DDSNPI 1053394585
Title
Partner
Phone
(757) 874-6501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

716 Denbigh Blvd
Suite C1
Newport News, VA 23608-4414

Mailing address

716 Denbigh Blvd
Suite C1
Newport News, VA 23608-4414
Phone (757) 874-6501

Other names 1

  • Hampton Roads Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

901 Enterprise Pkwy
Ste 100
Hampton, VA 23666
Phone (757) 825-8355

2656 George Washington Memorial Hwy
Ste 105
Hayes, VA 23072
Phone (757) 874-6501

Practitioners & affiliated clinicians

Practitioners 8

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": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1831476886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 DENBIGH BLVD",
            "address_2": "SUITE C1",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084414",
            "telephone_number": "757-874-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 DENBIGH BLVD",
            "address_2": "SUITE C1",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084414",
            "telephone_number": "757-874-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDT OMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "TANKERSLEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "757-874-6501",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Roads Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

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