NPIMap

Organization Active NPI

Hampton Roads Anesthesia & Dentistry, PLLC

  • Dental Anesthesiology
  • Virginia Beach, VA
National Provider Identifier
1831629419
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
0447000045 Issued in VA
Legal business name
HAMPTON ROADS ANESTHESIA & DENTISTRY, PLLC
Practice address
1206 Laskin Rd Ste 140
Virginia Beach, VA 23451-5267
Phone
(757) 598-2958
Fax
(757) 425-1762
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Jonathan Lawrence Wong, DMDNPI 1225266430
Title
Owner
Phone
(757) 598-2958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AnesthesiologyGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0004X 0447000045 VA Primary

Addresses

Primary practice location

1206 Laskin Rd Ste 140
Virginia Beach, VA 23451-5267

Mailing address

303 55TH St Unit a
Virginia Beach, VA 23451-2213
Phone (757) 598-2958

Other practice location 1

400C Southpark Blvd
Colonial Heights, VA 23834-2974
Phone (804) 835-5876

Other names 1

  • Jonathan L Wong, DMD Other name

National Provider Directory

National Provider Directory

Locations

1206 Laskin Rd
Ste 140
Virginia Beach, VA 23451
Phone (757) 598-2958

Practitioners & affiliated clinicians

Practitioners 3

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": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1831629419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 55TH ST UNIT A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512213",
            "telephone_number": "757-598-2958",
            "fax_number": "757-425-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 LASKIN RD STE 140",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515267",
            "telephone_number": "757-598-2958",
            "fax_number": "757-425-1762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400C Southpark Blvd",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342974",
            "country_code": "US",
            "telephone_number": "804-835-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAMPTON ROADS ANESTHESIA & DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-598-2958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "VA",
            "license": "0447000045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan L Wong, DMD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jonathan L Wong, DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 17, 2018; 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.