Tidewater Medspa Pllc

ActiveOrganizationSpecialty not listed
NPI issued: March 11, 2022

Quick Facts

NPI Number
1356099113
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy261QH0100X — Specialty not listed
Phone
(757) 470-9454
StateVA

NPI Validation Status: Verified

Valid 10-digit NPI number (1356099113)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 11, 2022)
Data source: CMS NPPES

Provider Overview

TIDEWATER MEDSPA PLLC is a Healthcare provider based in Portsmouth, VA who has been registered with CMS since 2022. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1356099113
Provider TypeOrganization
StatusActive
Enumeration DateMarch 11, 2022

Practice Location

CityPortsmouth
StateVA
ZIP Code23701-2623
Phone(757) 470-9454

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code261QH0100X
License StateVA

Mailing Address

CityPortsmouth
StateVA
ZIP Code23701-2623
Phone(757) 470-9454
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1356099113 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1356099113for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1356099113 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
9,906
Specialty not listed Providers in the US

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Thomas Kelleher, D.M.D

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Christopher Turner, O.D

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People Also Ask

What is Tidewater Medspa Pllc's NPI number?
Tidewater Medspa Pllc's NPI number is 1356099113, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Tidewater Medspa Pllc's NPI currently active?
Yes, Tidewater Medspa Pllc's NPI status is Active as of the latest CMS NPPES database updates.
What does Tidewater Medspa Pllc specialize in?
Tidewater Medspa Pllc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 261QH0100X.
Where does Tidewater Medspa Pllc practice?
Tidewater Medspa Pllc practices in Portsmouth, VA 23701-2623.
When was Tidewater Medspa Pllc's NPI issued?
Tidewater Medspa Pllc's NPI was issued on March 11, 2022.
What is Tidewater Medspa Pllc's provider type?
Tidewater Medspa Pllc is registered as an Organization under CMS NPI Type 2.