Organization Active NPI

KV Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Virginia Beach, VA
National Provider Identifier
1922574847
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KV ORTHODONTICS, PLLC
Practice address
5241 Providence Rd
Virginia Beach, VA 23464-4201
Phone
(757) 495-3110
NPI assigned
Oct 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Stephanie Gomez
Title
Credentialing Supervisor
Phone
(305) 274-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

5241 Providence Rd
Virginia Beach, VA 23464-4201

Mailing address

5241 Providence Rd
Virginia Beach, VA 23464-4201
Phone (757) 495-3110

Other practice location 1

1533 Volvo Pkwy Ste 200
Chesapeake, VA 23320-8489
Phone (757) 549-1919

Other practice location 2

996 First Colonial Rd Ste 100
Virginia Beach, VA 23454-3175
Phone (757) 496-6030

Other practice location 3

5849 Harbour View Blvd Ste 110
Suffolk, VA 23435-3770
Phone (757) 606-1671

Other practice location 4

2401 Seaboard Rd Ste 107
Virginia Beach, VA 23456-3500
Phone (757) 427-9200

Other practice location 5

229 Hillcrest Pkwy Ste 200
Chesapeake, VA 23322-2485
Phone (757) 204-4600

National Provider Directory

National Provider Directory

Locations

1533 Volvo Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 549-1919

229 Hillcrest Pkwy
Ste 200
Chesapeake, VA 23322
Phone (757) 204-4600

5849 Harbour View Blvd
Ste 110
Suffolk, VA 23435
Phone (757) 606-1671

996 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 496-6030

2401 Seaboard Rd
Ste 107
Virginia Beach, VA 23456
Phone (757) 427-9200

5241 Providence Rd
Virginia Beach, VA 23464
Phone (757) 495-3110

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1922574847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 PROVIDENCE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644201",
            "telephone_number": "757-495-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 PROVIDENCE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644201",
            "telephone_number": "757-495-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1533 Volvo Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233208489",
            "country_code": "US",
            "telephone_number": "757-549-1919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "996 First Colonial Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543175",
            "country_code": "US",
            "telephone_number": "757-496-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5849 Harbour View Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353770",
            "country_code": "US",
            "telephone_number": "757-606-1671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Seaboard Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234563500",
            "country_code": "US",
            "telephone_number": "757-427-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 Hillcrest Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233222485",
            "country_code": "US",
            "telephone_number": "757-204-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KV ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 18, 2021; 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.