OrganizationActive
Pediatric Dental Care of Tidewater PC
NPI 1891915112 · Pediatric Dentistry · Portsmouth, VA
Pediatric Dental Care of Tidewater PC is a Pediatric Dentistry organization in Portsmouth, VA (NPI 1891915112).
Provider details
- NPI number
- 1891915112
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Morgan Weis, Owner(757) 484-8262
- License
- 0401410496 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
5915 High Street West
Portsmouth, VA 23703
Phone: (757) 484-8262
Fax: (757) 638-3632
Street-level locationGet directions
Mailing address
5915 High St W
Portsmouth, VA 23703-4505
Registry dates
- Enumerated
- 2007-04-27
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Frequently asked questions
- What is Pediatric Dental Care of Tidewater PC's NPI number?
- Pediatric Dental Care of Tidewater PC's National Provider Identifier (NPI) is 1891915112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Care of Tidewater PC?
- Pediatric Dental Care of Tidewater PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dental Care of Tidewater PC located?
- Pediatric Dental Care of Tidewater PC's practice location on file with NPPES is 5915 High Street West, Portsmouth, VA 23703.
- What is Pediatric Dental Care of Tidewater PC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Care of Tidewater PC is (757) 484-8262.
- Who is the authorized official for Pediatric Dental Care of Tidewater PC?
- The authorized official listed on Pediatric Dental Care of Tidewater PC's NPPES record is Morgan Weis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Care of Tidewater PC's NPI active?
- Yes — Pediatric Dental Care of Tidewater PC's NPI (1891915112) is active in the NPPES registry as of the last update on 2025-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.