Dentistry of Virginia Beach, PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401411435 Issued in VA

Legal business name

DENTISTRY OF VIRGINIA BEACH, PLC

Practice address

1805 Colonial Medical CT
Virginia Beach, VA 23454-3034

Phone

(757) 961-4300

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Jorge Pelaez, DMDNPI 1255324315

Title

Owner/Dentist

Phone

(757) 961-4300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Pelaez, DMD

  • Dentist
  • Virginia Beach, VA
  • NPI 1255324315
  NPD (past) Authorized official

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1922417112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 COLONIAL MEDICAL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543034",
            "telephone_number": "757-961-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 COLONIAL MEDICAL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543034",
            "telephone_number": "757-961-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF VIRGINIA BEACH, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "PELAEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "757-961-4300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401411435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.