NPIMap

Organization Active NPI

Edward J. Weisberg,D.D.S.

  • Dentist
  • Norfolk, VA
National Provider Identifier
1871839498
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4515 Issued in VA
Legal business name
EDWARD J. WEISBERG,D.D.S.
Practice address
801 W Little Creek Rd Ste 103
Norfolk, VA 23505-2036
Phone
(757) 440-0044
Fax
(757) 961-6882
NPI assigned
Dec 31, 2012
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Edward J Weisberg, D.D.S.NPI 1053504530
Title
Dentist
Phone
(757) 440-0044

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4515 VA Primary

Addresses

Primary practice location

801 W Little Creek Rd Ste 103
Norfolk, VA 23505-2036

Mailing address

900 W Little Creek Rd
Norfolk, VA 23505-2024
Phone (757) 440-0044

Other identifiers 1

IdentifierTypeStateIssuer
007805411MedicaidVA

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Division of Atlantic Dental Care2 organizations share this tax ID, including this one
Part of
Melvin E Cruser III DDS

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1871839498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W LITTLE CREEK RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235052024",
            "telephone_number": "757-440-0044",
            "fax_number": "757-440-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W LITTLE CREEK RD STE 103",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235052036",
            "telephone_number": "757-440-0044",
            "fax_number": "757-961-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. WEISBERG,D.D.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2012-12-31",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-440-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "4515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007805411",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.