OrganizationActive
Kenneth J. Cavallari, DDS, PC
NPI 1164305421 · Periodontics · Virginia Beach, VA
Kenneth J. Cavallari, DDS, PC is a Periodontics organization in Virginia Beach, VA (NPI 1164305421).
Provider details
- NPI number
- 1164305421
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jenny Garcia-Rocha, Sr Credentialing Team Lead(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
984 First Colonial Rd Ste 300
Virginia Beach, VA 23454-3196
Phone: (757) 412-0235
Fax: (757) 381-7123
Street-level locationGet directions
Mailing address
984 First Colonial Rd Ste 300
Virginia Beach, VA 23454-3196
Other names (DBA / former)
- Doing business as
- Tidewater Laser Perio & Implants
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Frequently asked questions
- What is Kenneth J. Cavallari, DDS, PC's NPI number?
- Kenneth J. Cavallari, DDS, PC's National Provider Identifier (NPI) is 1164305421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth J. Cavallari, DDS, PC?
- Kenneth J. Cavallari, DDS, PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Kenneth J. Cavallari, DDS, PC located?
- Kenneth J. Cavallari, DDS, PC's practice location on file with NPPES is 984 First Colonial Rd Ste 300, Virginia Beach, VA 23454-3196.
- What is Kenneth J. Cavallari, DDS, PC's phone number?
- The practice phone number listed in the NPPES registry for Kenneth J. Cavallari, DDS, PC is (757) 412-0235.
- Who is the authorized official for Kenneth J. Cavallari, DDS, PC?
- The authorized official listed on Kenneth J. Cavallari, DDS, PC's NPPES record is Jenny Garcia-Rocha, Sr Credentialing Team Lead. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth J. Cavallari, DDS, PC's NPI active?
- Yes — Kenneth J. Cavallari, DDS, PC's NPI (1164305421) is active in the NPPES registry as of the last update on 2025-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.