DR. DANIEL WALTER INGRAM (NPI# 1376764605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376764605 |
| Entity Type | Individual |
| Full Name | DR. DANIEL WALTER INGRAM |
| Credential | DDS |
| Practice Address |
1212 Lake James Dr Suite A Virginia Beach VA 23464-6779 |
| Practice Telephone | 7574204214 |
| Mailing Telephone | 7574204214 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 05288 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750356192 | Daniel Wayne Ingram | Physician Assistant | 4207 Lake Boone Trl, Raleigh, NC 27607 | 2006-02-21 |
| 1710951025 | Daniel M. Ingram | Emergency Medicine | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2006-02-14 |
| Street Address |
1212 LAKE JAMES DR SUITE A |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-6779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870625 | Cynthia N Trent | Nurse Practitioner | 1212 Lake James Dr, Suite C, Virginia Beach, VA 23464-6779 | 2005-06-08 |
| 1710072145 | Pediatrics of Kempsville, P.C. | Pediatrics | 1212 Lake James Dr, Suite C, Virginia Beach, VA 23464-6779 | 2006-10-03 |
| 1447358577 | Jennifer Larson | Nurse Practitioner | 1212 Lake James Dr, Suite C, Virginia Beach, VA 23464-6779 | 2006-09-20 |
| 1083719728 | Howard R Feldman | Family Medicine | 1212 Lake James Dr, F, Virginia Beach, VA 23464-6779 | 2006-09-14 |
| 1558315937 | Carol Elaine Downing | Pediatrics | 1212 Lake James Dr, Suite C, Virginia Beach, VA 23464-6779 | 2006-05-20 |
| 1386696607 | Winfield Anthony Young | Pediatrics | 1212 Lake James Dr, Ste C, Virginia Beach, VA 23464-6779 | 2006-05-16 |
| 1174580377 | Maxine Ruth Beatty | Pediatrics | 1212 Lake James Dr, Ste C, Virginia Beach, VA 23464 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909731 | Kimia Khoshroo | Dentist | 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 | 2020-10-13 |
| 1811523459 | Kerin E Gustafson | Dentist | 2204 General Booth Blvd Ste 400, Virginia Beach, VA 23454-5934 | 2020-03-16 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1427602754 | Jennifer Matika | Dentist | 397 Little Neck Rd Ste 101, Virginia Beach, VA 23452-5771 | 2019-07-25 |
| 1801309596 | Thomas A Mckee Dds PC | Dentist | 5261 Challedon Dr, Virginia Beach, VA 23462-6315 | 2017-11-16 |
| 1215463963 | E James Reitano, Dds | Dentist | 6062 Indian River Rd, Suite 103, Virginia Beach, VA 23464-3821 | 2017-05-01 |
| 1841736634 | Dmitry Keysalov | Dentist | 1074 Grand Oak Ln, Virginia Beach, VA 23455-7218 | 2017-01-17 |
| 1821478223 | Sarah George | Dentist | 142 Independence Blvd, Virginia Beach, VA 23462-6718 | 2015-06-02 |
| 1396124509 | Hoang Ho | Dentist | 1909 Landstown Centre Way Ste 100, Virginia Beach, VA 23456-1625 | 2015-05-20 |
| 1043698145 | Julie Ball, Dmd | Dentist | 1515 Lynnhaven Pkwy, Virginia Beach, VA 23453-2054 | 2015-05-11 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
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| 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.