DR. JEFFREY D DOMARK (NPI# 1336119528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336119528 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY D DOMARK |
| Credential | DMD, MS |
| Practice Address |
1550 Tomcat Blvd Suite 150 Virginia Beach VA 23460-2188 |
| Practice Telephone | 7579533926 |
| Mailing Telephone | 7579533926 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2010010741 | MO | Dental Providers |
| N | 122300000X | Dentist | 019-026178 | IL | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
0401413366 | VA | Dental Providers |
| Street Address |
1550 TOMCAT BLVD SUITE 150 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23460-2188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649255969 | Amarjeet Singh Purewal | Psychologist | 1550 Tomcat Blvd, Virginia Beach, VA 23460 | 2005-12-09 |
| 1184075608 | Matthew Laurence Decker | Optometrist | 1550 Tomcat Blvd, Optometry Clinic, Virginia Beach, VA 23460-2218 | 2016-06-27 |
| 1083052955 | Christopher Jay Richmond | General Practice | 1550 Tomcat Blvd, Virginia Beach, VA 23460-2218 | 2013-06-12 |
| 1588906556 | Lonnie E Meyers II | Physician Assistant | 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2188 | 2013-03-18 |
| 1720329691 | Adam Picker | Physician Assistant | 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2188 | 2013-03-02 |
| 1437458767 | Duane Shaw Rowe Jr. | Physician Assistant | 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2188 | 2011-03-25 |
| 1477797967 | Laura Israelian Petras | Family Medicine | 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2218 | 2009-04-28 |
| 1790946911 | Robert John Krause | General Practice | 1550 Tomcat Blvd, Virginia Beach, VA 23460-2218 | 2008-06-20 |
| 1568621787 | U S Navy | Clinic/Center | 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2218 | 2008-06-03 |
| 1386814697 | Travis James Harmon | Military Health Care Provider | 1550 Tomcat Blvd, Virginia Beach, VA 23460-2218 | 2008-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619400249 | Michael Alexander Sumner | General Practice | Nas Oceana Branch Medical Clinic, 1640 Tomcat Blvd, Virginia Beach, VA 23460 | 2017-04-10 |
| 1205285830 | Kyle Mcdonald | Family Medicine | 1550 Tomcat Blvd Ste 150, Virginia Beach, VA 23460 | 2016-06-04 |
| 1679980767 | Lauren Collins Ervin Brown | Dentist | 1750 Tomcat Blvd Bldg 285, Virginia Beach, VA 23460-2168 | 2014-07-21 |
| 1588935829 | Heather Sterling Slusser | General Practice | 1750 Tomcat Blvd, Branch Medical Clinic Oceana, Virginia Beach, VA 23460-2168 | 2012-01-18 |
| 1184259921 | Mellie Rose Vann | Pharmacist | 1750 Tomcat Blvd, Virginia Beach, VA 23460-2168 | 2020-03-11 |
| 1497245765 | John Vietquang Dang | Student in an Organized Health Care Education/Training Program | 1750 Tomcat Blvd, Virginia Beach, VA 23460-2168 | 2018-05-13 |
| 1366940314 | Kyle Alan Bement | Student in an Organized Health Care Education/Training Program | 1750 Tomcat Blvd, Virginia Beach, VA 23460-2168 | 2018-01-24 |
| 1629418017 | Matthew Joseph Carr | General Practice | 1750 Tomcat Blvd, Virginia Beach, VA 23460-2168 | 2013-06-28 |
| 1134772023 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1449 Tomcat Blvd Bldg 292, Virginia Beach, VA 23460-2177 | 2019-07-19 |
| 1003194028 | Katy Bice | Optometrist | 1449 Tomcat Blvd, Virginia Beach, VA 23460-2177 | 2011-07-25 |
| Find all providers in zip 23460 | ||||
| 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 | 23460 |
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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.