Tidewater Allergy and Asthma LLC
NPI 1629889308 · Allergy & Immunology Physician · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Allergy and Asthma LLC is a Allergy & Immunology Physician organization in Virginia Beach, VA (NPI 1629889308).
Provider details
- NPI number
- 1629889308
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeremy Owens, Owner(757) 572-6052
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Tidewater Allery and Asthma
- Doing business as
- Tidewater Allery and Asthma
Additional practice locations (1)
- 516 Innovation Dr Ste 306Chesapeake, VA 23320-3866Phone: (757) 499-4101
Registry dates
- Enumerated
- 2025-01-14
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Frequently asked questions
- What is Tidewater Allergy and Asthma LLC's NPI number?
- Tidewater Allergy and Asthma LLC's National Provider Identifier (NPI) is 1629889308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Allergy and Asthma LLC?
- Tidewater Allergy and Asthma LLC is classified in the NPPES registry as Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Tidewater Allergy and Asthma LLC located?
- Tidewater Allergy and Asthma LLC's practice location on file with NPPES is 4534 Bonney Rd Ste B, Virginia Beach, VA 23462-3873.
- What is Tidewater Allergy and Asthma LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Allergy and Asthma LLC is (757) 499-4101.
- Does Tidewater Allergy and Asthma LLC accept Medicare?
- Tidewater Allergy and Asthma LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tidewater Allergy and Asthma LLC?
- The authorized official listed on Tidewater Allergy and Asthma LLC's NPPES record is Jeremy Owens, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Allergy and Asthma LLC's NPI active?
- Yes — Tidewater Allergy and Asthma LLC's NPI (1629889308) is active in the NPPES registry as of the last update on 2025-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.