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Tidewater Medical Supply, Inc

Oxygen Equipment & Supplies (DME) in Chesapeake, VA · enumerated 2006 · authorized official Keith Davies, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104923895

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Tidewater Medical Supply, Inc
Practice address 525 Byron St, Suite A, Chesapeake, VA, 23320
Phone (757) 548-9999
Fax (757) 549-7752
Enumeration date Sep 17, 2006
Last updated in NPPES Mar 11, 2010

Taxonomy & classification

332BX2000X Oxygen Equipment & Supplies (DME) Suppliers · License 0206009115 (VA) Primary

Authorized official

Name Keith Davies
Title President
Phone (757) 548-9999

Other identifiers

Identifier Type State Issuer
1258980001 Other VA MEDICARE PARTICIPATING PROVIDER ID # 1258980001 STATE VA PTAN #
009117920 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Tidewater Medical Supply, Inc?
Tidewater Medical Supply, Inc is registered in NPPES as a Oxygen Equipment & Supplies (DME) (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-11.