COSMETIC DENTISTRY (NPI# 1134671514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134671514 |
| Entity Type | Organization |
| Organization Name | COSMETIC DENTISTRY |
| Practice Address |
931 Providence Rd Chesapeake VA 23325-4200 |
| Practice Telephone | 7573660330 |
| Practice Fax Number | 7573660550 |
| Mailing Telephone | 7573660330 |
| Mailing Fax Number | 7573660550 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | MRS. TAYLOR HICKMAN (OFFICE ASSISTANT) |
| Authorized Official Telephone | 7573660330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 0401411210 | VA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1649318247 | 01 |
| VA | THAMES NPI | 1992010953 | 01 |
| Street Address |
931 PROVIDENCE RD |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23325-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649318247 | Michael Dale Turck | Dentist | 931 Providence Rd, Chesapeake, VA 23325-0931 | 2007-02-03 |
| 1083260814 | Cd Virginia Dental, P.C. | Dentist | 931 Providence Rd, Chesapeake, VA 23325-4200 | 2019-08-16 |
| 1144790528 | Cd Virginia Dental P.C. | Dentist | 931 Providence Rd, Chesapeake, VA 23325-4200 | 2018-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165532 | Ife Michelle Milligan | Social Worker | 1509 Oleander Ave, Chesapeake, VA 23325 | 2020-02-05 |
| 1558722256 | Denise Simpson | Social Worker | 3004 Elbyrne Drive, Chesapeake, VA 23325 | 2016-03-09 |
| 1124195813 | Cecil J Carroll | Dentist | 4310 Indian River Road, Ste 1, Chesapeake, VA 23325 | 2006-11-29 |
| 1790870665 | Joy Marie Cocchiola | Dentist | 931 Providence Road, Chesapeake, VA 23325 | 2006-10-04 |
| 1396836383 | Ff Acquisition LLC | Durable Medical Equipment & Medical Supplies | 211 15 Providence Rd, Chesapeake, VA 23325 | 2006-09-27 |
| 1326052986 | Larry Howard Kagan | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-07-28 |
| 1316476773 | Evelyn Lorraine Dickson | Driver | 2116 Allison Dr, Chesapeake, VA 23325 | 2017-06-08 |
| 1629155122 | Indian River Family Practice PC | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-11-01 |
| 1396755948 | Robert Bernard Laibstain | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-08-08 |
| 1689207599 | 3 Keys Counseling & Consulting, LLC | Clinic/Center | 3810 Indian River Rd Unit 13074, Chesapeake, VA 23325-1202 | 2020-02-19 |
| Find all providers in zip 23325 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043717457 | Chesapeake Family and Implant Dentistry LLC | Preferred Provider Organization | Chesapeake Family and Implant Dentistry, 516 Innovation Dr. Suite 302, Chesapeake, VA 23320 | 2018-04-11 |
| 1104298389 | Life Transitions Inc. | Preferred Provider Organization | 956 Lake Village Dr Apt C, Chesapeake, VA 23323-4725 | 2015-10-27 |
| 1790108843 | Joseph Calhoun Jr. | Preferred Provider Organization | 908 Cascade Blvd, Chesapeake, VA 23324-3517 | 2014-01-27 |
| 1003108333 | Harvey A Glick Dds PC | Preferred Provider Organization | 528 Albemarle Drive, Chesapeake, VA 23322 | 2011-05-04 |
| 1124323027 | Visionsthree Partnership | Preferred Provider Organization | 3313 Pine Hill Cres, Chesapeake, VA 23321-5123 | 2011-01-24 |
| 1528213931 | Derjan Group | Preferred Provider Organization | 550 North Battlefield, Chesapeake, VA 23320-3544 | 2008-11-26 |
| 1972115400 | Wright Way Homecare LLC | Preferred Provider Organization | 809a Professional Pl W Unit 103, Chesapeake, VA 23320-3601 | 2020-08-17 |
| 1265715601 | Paul R. Letellier, Dds | Preferred Provider Organization | 133 Kempsville Rd, Suite 103, Chesapeake, VA 23320-3701 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003381310 | Audrey R. Townes | Preferred Provider Organization | 837 Azalea Ave, Richmond, VA 23227-3512 | 2018-10-12 |
| 1376078105 | Bella Family Home Health Care Inc | Preferred Provider Organization | 5827 Columbia Pike Ste 316, Falls Church, VA 22041-2036 | 2017-04-30 |
| 1245763366 | Living Made Easy | Preferred Provider Organization | 328 Peninsular St, Lynchburg, VA 24501-1420 | 2017-04-05 |
| 1225575830 | Gentle Touch Home Health Care | Preferred Provider Organization | 3421 Vimy Ridge Ave, Norfolk, VA 23509-2041 | 2017-01-22 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1962853036 | James D. Cahn, Dds, P.C. | Preferred Provider Organization | 5225 Hickory Park Dr, Suite D, Glen Allen, VA 23059-2620 | 2016-06-29 |
| 1780045849 | Ideal Dental Care, Inc | Preferred Provider Organization | 8111 Midlothian Tpke, North Chesterfield, VA 23235-5115 | 2016-03-16 |
| 1063871309 | Childlike Faith Services, LLC | Preferred Provider Organization | 12417 Branner Way, 103, Chester, VA 23836-2807 | 2016-02-15 |
| 1366815532 | Graceful Hands | Preferred Provider Organization | 18874 Christanna Hwy, Lawrenceville, VA 23868-2603 | 2015-11-10 |
| 1841669744 | Payne Sweet Home Care | Preferred Provider Organization | 601 Nannie Burton Rd, Louisa, VA 23093-2518 | 2015-09-21 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23325 |
Please comment or provide details below to improve the information on COSMETIC DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.