Organization Active NPI

Morrison Dental Group East Beach PLLC

  • Dental Clinic/Center
  • Norfolk, VA
National Provider Identifier
1912655101
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MORRISON DENTAL GROUP EAST BEACH PLLC
Practice address
4520 Pretty Lake Ave
Norfolk, VA 23518-1826
Phone
(757) 362-0600
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Celeste Vaughn
Title
Executive Assistant
Phone
(757) 258-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4520 Pretty Lake Ave
Norfolk, VA 23518-1826

Mailing address

7151 Richmond Rd Ste 305
Williamsburg, VA 23188-7234
Phone (757) 258-7778

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.morrisondentalgroup.com Health Information Exchange (HIE)

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": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1912655101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 RICHMOND RD STE 305",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887234",
            "telephone_number": "757-258-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 PRETTY LAKE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181826",
            "telephone_number": "757-362-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON DENTAL GROUP EAST BEACH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "757-258-7778"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.morrisondentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "Dental Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4520 Pretty Lake Ave",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235181826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 16, 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.