Active NPI
Ronald L Tankersley, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Newport News, VA
National Provider Identifier
1053394585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3791
- Practice address
- 716 Denbigh Blvd
Newport News, VA 23608-4414 - Phone
- (757) 874-6501
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3791 | VA | Primary |
Addresses
Primary practice location
716 Denbigh Blvd
Newport News, VA 23608-4414
Mailing address
1404 Rivers Edge Rd.
Newport News, VA 23606
Phone (757) 874-6501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243303 | Other | VI | ANTHEM |
| 583329 | Other | VA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3791 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald Tankersley DDS Numa Ray Lee DDS Jeffrey N Kenney DDS W Les | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Newport News, VA
- NPI 1295930097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053394585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 RIVERS EDGE RD.",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23606",
"telephone_number": "757-874-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 DENBIGH BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236084414",
"telephone_number": "757-874-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANKERSLEY",
"first_name": "RONALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "3791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "243303",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "583329",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.