Individual provider Active NPI

Sonya Lucille Thomas-Webb, DDS

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1881602597
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007228 Issued in VA
Practice address
910 Great Bridge Blvd
Suite 106
Chesapeake, VA 23320-6642
Phone
(757) 549-0025
Fax
(757) 549-0371
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007228 VA Primary

Addresses

Primary practice location

910 Great Bridge Blvd
Suite 106
Chesapeake, VA 23320-6642

Mailing address

910 Great Bridge Blvd
Suite 106
Chesapeake, VA 23320-6642

Other identifiers 2

IdentifierTypeStateIssuer
250030OtherBLUE CROSS BLUE SHIELD
790040OtherUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204001230 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204130677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401007228VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan R Boylan DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881602597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GREAT BRIDGE BLVD",
            "address_2": "SUITE 106",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GREAT BRIDGE BLVD",
            "address_2": "SUITE 106",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206642",
            "telephone_number": "757-549-0025",
            "fax_number": "757-549-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-WEBB",
        "first_name": "SONYA",
        "middle_name": "LUCILLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "250030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "790040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.