Individual provider Active NPI

Pablo Pinheiro Machado, DMD

  • General Practice Dentistry
  • Norfolk, VA
National Provider Identifier
1124790241
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401419118 Issued in VA
Practice address
7400 Granby St
Norfolk, VA 23505-3436
Phone
(757) 583-1535
NPI assigned
Sep 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401419118 VA
General Practice Dentistry 1223G0001X 0401419118 VA Primary

Addresses

Primary practice location

7400 Granby St
Norfolk, VA 23505-3436

Mailing address

11201 Shaker Blvd Ste 136
Cleveland, OH 44104-3833
Phone (216) 368-7238

Other identifiers 1

IdentifierTypeStateIssuer
0401419118OtherVADENTIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220425002241 MA Order and Referring Only - DentistPractitioner - Dentist 4183011943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401419118VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CD Virginia Dental P.C. Dentist Past Accepting new patients
Konikoff Family Dentistry General Practice PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1124790241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD STE 136",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043833",
            "telephone_number": "216-368-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053436",
            "telephone_number": "757-583-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINHEIRO MACHADO",
        "first_name": "PABLO",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419118",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "0401419118",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.