Individual provider Active NPI

Tarcisio Ribeiro Santana Sr.

  • General Practice Dentistry
  • Rocky Gap, VA
National Provider Identifier
1134923683
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401420172 Issued in VA
Practice address
12080 N Scenic Hwy
Rocky Gap, VA 24366-5026
Phone
(786) 769-2428
NPI assigned
Apr 3, 2025
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401420172 VA Primary

Addresses

Primary practice location

12080 N Scenic Hwy
Rocky Gap, VA 24366-5026

Mailing address

12080 N Scenic Hwy
Rocky Gap, VA 24366-5026

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401420172VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1134923683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12080 N SCENIC HWY",
            "city": "ROCKY GAP",
            "state": "VA",
            "postal_code": "243665026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12080 N SCENIC HWY",
            "city": "ROCKY GAP",
            "state": "VA",
            "postal_code": "243665026",
            "telephone_number": "786-769-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO SANTANA",
        "first_name": "TARCISIO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-03",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401420172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.