Erno Fulop, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

0401415244 Issued in VA

Practice address

250 S Main St Ste 212
Blacksburg, VA 24060-4725

Phone

(540) 552-5433

NPI assigned

Jun 13, 2016

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 15, 2016 through Aug 15, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Real Life Dental of Christiansburg, PLLC

  • General Practice Dentistry
  • Christiansburg, VA
  • NPI 1285457879
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1215386016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S MAIN ST STE 212",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240604725",
            "telephone_number": "571-465-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S MAIN ST STE 212",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240604725",
            "telephone_number": "540-552-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7151 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231887234",
            "country_code": "US",
            "telephone_number": "757-258-7778",
            "fax_number": "757-258-5185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULOP",
        "first_name": "ERNO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Freeman, LPC
• Jeremy Freeman, MD
• Ashleigh Stultz French
• Fresh Focus Psychiatric Services PLLC
• Samuel Freytes-Rivera, DO
• Andrea Bellamy Fulp, RDN
• Susan I Gaither, RNCNP
• Elizette Marie Galarza Carrasquillo
• Elizabeth Hovanec Gallant, LCSW
• Louisa Gamor

• Dentist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.