Organization Active NPI

Vernon E. O'Berry Jr. DDS PC

  • General Practice Dentistry
  • Norfolk, VA
National Provider Identifier
1912048828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6196 Issued in VA
Legal business name
VERNON E. O'BERRY JR. DDS PC
Practice address
400 Gresham Dr
Suite 708
Norfolk, VA 23507-1901
Phone
(757) 627-1882
Fax
(757) 627-7807
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vernon E. O'Berry Jr., DDS
Title
Owner
Phone
(757) 627-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6196 VA Primary

Addresses

Primary practice location

400 Gresham Dr
Suite 708
Norfolk, VA 23507-1901

Mailing address

400 Gresham Dr.
Suite 708
Norfolk, VA 23507-1234
Phone (757) 627-1882

National Provider Directory

National Provider Directory

Locations

400 Gresham Dr
Ste 708
Norfolk, VA 23507
Phone (757) 627-1882

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912048828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR.",
            "address_2": "SUITE 708",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071234",
            "telephone_number": "757-627-1882",
            "fax_number": "757-627-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR",
            "address_2": "SUITE 708",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071901",
            "telephone_number": "757-627-1882",
            "fax_number": "757-627-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON E. O'BERRY JR. DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'BERRY",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-627-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.