AMY NAMSUPAK (NPI# 1811300460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811300460 |
| Entity Type | Individual |
| Full Name | AMY NAMSUPAK |
| Credential | DDS |
| Practice Address |
2100 Lynnhaven Pkwy Suite 200 Virginia Beach VA 23456-1492 |
| Mailing Address |
1537 Waltham Way Apt 201 Chesapeake VA 23320-4077 |
| Practice Telephone | 7579614000 |
| Mailing Telephone | 3049931616 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2016-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401415277 | VA | Dental Providers |
| Street Address |
2100 LYNNHAVEN PKWY SUITE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-1492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651980 | Annelore Fontane Butler | Pediatrics | 2100 Lynnhaven Pkwy, Siute 201, Virginia Beach, VA 23456-1492 | 2005-06-30 |
| 1063895415 | Megan Mazzarella | Dentist | 2100 Lynnhaven Pkwy, Virginia Beach, VA 23456-1492 | 2015-07-02 |
| 1285032995 | Konikoff Dental | Dentist | 2100 Lynnhaven Pkwy, Suite #100, Virginia Beach, VA 23456-1492 | 2014-12-11 |
| 1679914394 | Konikoff Dental Specialists, Inc. | Dentist | 2100 Lynnhaven Pkwy, Suite 200, Virginia Beach, VA 23456-1492 | 2013-07-10 |
| 1801159330 | Daniel M Jones | Dentist | 2100 Lynnhaven Pkwy, Suite 100, Virginia Beach, VA 23456-1492 | 2012-06-19 |
| 1215299896 | Michael J Newman | Dentist | 2100 Lynnhaven Pkwy, Suite 100, Virginia Beach, VA 23456-1492 | 2012-06-11 |
| 1801182191 | Catherine A Muldoon | Dentist | 2100 Lynnhaven Pkwy, Suite #100, Virginia Beach, VA 23456-1492 | 2011-06-24 |
| 1477842243 | David J Herce | Dentist | 2100 Lynnhaven Pkwy, #200, Virginia Beach, VA 23456-1492 | 2011-04-01 |
| 1225345036 | Meredith Hoek | Dentist | 2100 Lynnhaven Pkwy, Suite #100, Virginia Beach, VA 23456-1492 | 2010-09-01 |
| 1730404039 | Carl P Roy | Dentist | 2100 Lynnhaven Pkwy, Suite 200, Virginia Beach, VA 23456-1492 | 2010-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760794309 | Jessica Michelle Clark | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2010-07-12 |
| 1467629048 | Bukola Oduyelu, Dds, PC | Dentist | 2264 London Bridge Rd, Virginia Beach, VA 23456-3903 | 2008-05-13 |
| 1811011042 | Townsend Brown Jr., D.d.s. | Dentist | 1300 Kempsville Road, Suite 5, Virginia Beach, VA 23464 | 2007-03-16 |
| 1568579399 | Scott H Rosenblum | Dentist | 1055 Kempsville Rd, Virginia Beach, VA 23464-5501 | 2006-08-25 |
| 1871535872 | Townsend Brown Jr. | Dentist | 1300 Kempsville Rd, Suite 5, Virginia Beach, VA 23464-6199 | 2006-06-12 |
| 1700840816 | Olubukunola A Oduyelu | Dentist | 2125 Mccomas Way, Suite 105, Virginia Beach, VA 23456-3986 | 2006-04-14 |
| 1235642828 | Jessica M. Clark, Dds | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2017-11-06 |
| 1902261233 | Jessica M. Clark, Dds, P.C. | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2015-12-31 |
| 1477842243 | David J Herce | Dentist | 2100 Lynnhaven Pkwy, #200, Virginia Beach, VA 23456-1492 | 2011-04-01 |
| 1932277506 | Rosenblum, Levin, Barney & Hasty, Ltd | Dentist | 1055 Kempsville Rd, Virginia Beach, VA 23464-5501 | 2006-12-01 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
Please comment or provide details below to improve the information on AMY NAMSUPAK.
| 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.