NPIMap

Organization Active NPI

Myorthos Virginia Orthodontics PC

Doing business as Woodard Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chesapeake, VA
National Provider Identifier
1841059946
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MYORTHOS VIRGINIA ORTHODONTICS PC
Doing business as
Woodard Orthodontics
Practice address
1403 Greenbrier Pkwy Ste 420
Chesapeake, VA 23320-2876
Phone
(757) 523-0114
Fax
(757) 523-6592
NPI assigned
Mar 19, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MYORTHOS VIRGINIA ORTHODONTICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Casey Lonabocker
Title
VP Operations & Strategy
Phone
(617) 535-3364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

1403 Greenbrier Pkwy Ste 420
Chesapeake, VA 23320-2876

Mailing address

131 Dartmouth St FL 3
Boston, MA 02116-5297
Phone (617) 665-7241

Other practice location 1

5833 Harbour View Blvd Ste A
Suffolk, VA 23435-3766
Phone (757) 686-3959

Other names 1

  • Woodard Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Myorthos Virginia Orthodontics PC4 organizations share this tax ID, including this one
Part of
Myorthos Virginia Orthodontics PC

Other organizations with this tax ID 3

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

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": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1841059946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DARTMOUTH ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165297",
            "telephone_number": "617-665-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER PKWY STE 420",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202876",
            "telephone_number": "757-523-0114",
            "fax_number": "757-523-6592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5833 Harbour View Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353766",
            "country_code": "US",
            "telephone_number": "757-686-3959",
            "fax_number": "757-523-6592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYORTHOS VIRGINIA ORTHODONTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYORTHOS VIRGINIA ORTHODONTICS PC",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LONABOCKER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
        "authorized_official_telephone_number": "617-535-3364"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodard Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodard Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.