Peter Havelos

Primary specialty

DentistTaxonomy code 122300000X

License

0401415630 Issued in VA

Practice address

441 E Main St
Purcellville, VA 20132

Phone

(703) 300-7332

NPI assigned

Apr 5, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Yes, effective Sep 24, 2018 through Sep 24, 2026

Medicare enrollment (NPD)

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.

• Norbo Dental, PLLC

  • General Practice Dentistry
  • Purcellville, VA
  • NPI 1639543481
  NPD (past)

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1285098350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201340300",
            "telephone_number": "540-338-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "20132",
            "telephone_number": "703-300-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVELOS",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ashley Hambrick, M. ED, BCBA
• Chanelle Nichole Hamilton, BCBA, LBA
• Carol E Harkrader, MD
• Harris Teeter, LLC
• Cathlyn H Hartung, D.C.
• Cynthia Westcott Hayes, PH.D.
• Thomas Jerome Hegerich, MD
• Steve Heo
• Deepani Hettitantri, MD
• William Hight

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.