Organization Active NPI

Denbigh Orthopaedics & Sports Medicine, PC

  • Specialist
  • Newport News, VA
National Provider Identifier
1285806786
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101016325 Issued in VA
Legal business name
DENBIGH ORTHOPAEDICS & SPORTS MEDICINE, PC
Practice address
12720 McManus Blvd
Suite 311
Newport News, VA 23602-4414
Phone
(757) 872-0548
Fax
(757) 872-0551
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Mr. Thomas Marvin Stiles, M.D.
Title
Owner/President
Phone
(757) 872-0548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101016325 VA Primary

Addresses

Primary practice location

12720 McManus Blvd
Suite 311
Newport News, VA 23602-4414

Mailing address

12720 McManus Blvd
Suite 311
Newport News, VA 23602-4414
Phone (757) 872-0548

Other identifiers 1

IdentifierTypeStateIssuer
006400540MedicaidVA

National Provider Directory

National Provider Directory

Locations

12720 McManus Blvd
Ste 311
Newport News, VA 23602
Phone (757) 872-0548

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1285806786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 311",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-872-0548",
            "fax_number": "757-872-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 311",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-872-0548",
            "fax_number": "757-872-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENBIGH ORTHOPAEDICS & SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "757-872-0548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101016325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006400540",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.