Individual provider Active NPI

Peter J Adams, DDS

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1992788186
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007050 Issued in VA
Practice address
502 Bud Drive
Ste 102
Chesapeake, VA 23322
Phone
(757) 547-0222
Fax
(757) 498-0982
NPI assigned
Nov 22, 2005
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 0401007050 VA Primary

Addresses

Primary practice location

502 Bud Drive
Ste 102
Chesapeake, VA 23322

Mailing address

502 Bud Drive
Ste 102
Chesapeake, VA 23322
Phone (757) 547-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220912003604 NC Practitioner - Dentist 6709109556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401007050VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Jun 6, 2022 Accepting new patients
East Carolina University CurrentSince Jun 6, 2022 Accepting new patients
East Carolina University Current Accepting new patients
Safe Harbor Dental PLLC PastSince Jul 17, 2021 Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1992788186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BUD DRIVE",
            "address_2": "STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23322",
            "telephone_number": "757-547-0222",
            "fax_number": "757-547-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BUD DRIVE",
            "address_2": "STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23322",
            "telephone_number": "757-547-0222",
            "fax_number": "757-498-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.