Organization Active NPI

Dr. Michael J Sims D.M.D. PC

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1861671638
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401006482 Issued in VA
Legal business name
DR. MICHAEL J SIMS D.M.D. PC
Practice address
2109 McComas Way
St 101
Virginia Beach, VA 23456-3909
Phone
(757) 427-0695
Fax
(757) 430-9341
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Michael Joesph Sims, D.M.D.
Title
Dentist
Phone
(757) 427-0695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401006482 VA Primary

Addresses

Primary practice location

2109 McComas Way
St 101
Virginia Beach, VA 23456-3909

Mailing address

2109 McComas Way
St 101
Virginia Beach, VA 23456-3909
Phone (757) 427-0695

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1861671638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 MCCOMAS WAY",
            "address_2": "ST 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563909",
            "telephone_number": "757-427-0695",
            "fax_number": "757-430-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 MCCOMAS WAY",
            "address_2": "ST 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563909",
            "telephone_number": "757-427-0695",
            "fax_number": "757-430-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL J SIMS D.M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOESPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-427-0695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006482",
            "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 Oct 30, 2007; 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.