Michael Edenfield, DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401008978 Issued in VA

Legal business name

MICHAEL EDENFIELD, DDS PC

Practice address

6263 Portsmouth Blvd
Portsmouth, VA 23701-1344

Phone

(757) 488-1285

Fax

(757) 465-9132

NPI assigned

Jul 20, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Nicola J Pismeny

Title

Practice Administrator

Phone

(757) 488-1285

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Mark Goldstein, DDS

  • Dentist
  • Portsmouth, VA
  • NPI 1134295512
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1194013474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237011344",
            "telephone_number": "757-488-1285",
            "fax_number": "757-465-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237011344",
            "telephone_number": "757-488-1285",
            "fax_number": "757-465-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL EDENFIELD, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "PISMENY",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "757-488-1285",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401008978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Metz, MD
• Joel Metzger, M.D.
• Johanna Meyer
• Scott Lee Meyer, IDC
• Miangel Reliable Care LLC
• Midatlantic Regional Ambulance Inc
• Reginald Middlebrooks, CRNA
• Ashley Midgette, LCSW-S
• Alexandre F Migala, D.O.
• Erica Christine Mikell

• Dental Clinic/Center in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.