Miguel Eduardo Fernandez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410283 Issued in VA

Practice address

520 S Independence Blvd
Suite 102
Virginia Beach, VA 23452-1152

Phone

(757) 497-4825

Fax

(757) 497-1206

NPI assigned

Jul 24, 2006

Last updated

Mar 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miguel Fernandez DDS, LTD

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1730390998
  NPD Authorized official
• Atlantic Dental Care, PLC

  dba Miguel Fernandez DDS, Ltd. a division of Atlantic Dental Care, PLC

  • Dentist
  • Virginia Beach, VA
  • NPI 1457697690
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1184646390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S INDEPENDENCE BLVD",
            "address_2": "SUITE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521152",
            "telephone_number": "757-497-4825",
            "fax_number": "757-497-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S INDEPENDENCE BLVD",
            "address_2": "SUITE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521152",
            "telephone_number": "757-497-4825",
            "fax_number": "757-497-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MIGUEL",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michelle Ferjuste, LCSW
• Julie Ferland, RBT
• Lisa Alane Fermil, AGACNP-BC
• Cassidy Fernald
• Louis Andrew Fernandez, D.C.
• Susan Elizabeth Ferrandino, NP
• Daniel C Ferrara, O.D.
• John H Ferreira, LPC
• Josephine Ferreira
• Janet S Ferrell, MSCCCSLP

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.