NPIMap

Organization Active NPI

Dental Professionals of Virginia, P.C.

Doing business as LWSS Family Dentistry - Virginia Beach - Kempsville Rd. Ortho

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Virginia Beach, VA
National Provider Identifier
1881340354
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Doing business as
LWSS Family Dentistry - Virginia Beach - Kempsville Rd. Ortho
Practice address
904 Kempsville Rd Ste 105
Virginia Beach, VA 23464-5571
Phone
(757) 963-0059
NPI assigned
Feb 23, 2022
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Hillary Thull
Title
Credentialing Coordinator
Phone
(217) 540-8946

Specialties & licenses 1

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

Addresses

Primary practice location

904 Kempsville Rd Ste 105
Virginia Beach, VA 23464-5571

Mailing address

904 Kempsville Rd Ste 105
Virginia Beach, VA 23464-5571

Other names 1

  • LWSS Family Dentistry - Virginia Beach - Kempsville Rd. Ortho Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Dental Care of Virginia PC69 organizations share this tax ID, including this one
Part of
Heartland Dental Care of Virginia PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1881340354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 KEMPSVILLE RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 KEMPSVILLE RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645571",
            "telephone_number": "757-963-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF VIRGINIA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF VIRGINIA, P.C",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "THULL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LWSS Family Dentistry - Virginia Beach - Kempsville Rd. Ortho",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LWSS Family Dentistry - Virginia Beach - Kempsville Rd. Ortho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2022; 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.